{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T09:20:23Z","timestamp":1789809623217,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Pathol"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Bullous pemphigoid (BP) is an autoimmune vesiculobullous dermatitis that primarily affects the elderly and presents with tense, fluid\u2010filled blisters. The histological hallmark on routine hematoxylin &amp; eosin (H&amp;E)\u2010stained specimens is a subepidermal blister with luminal eosinophils. However, there are histologic variants than can produce diagnostic confusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All immunofluorescence reports from an independent certified dermatopathology laboratory (2006\u20102015) were inspected, and those with findings consistent with an autoimmune subepidermal blistering process were selected. Seventy\u2010seven cases were identified, and the corresponding H&amp;E\u2010stained specimens were reviewed by two dermatopathologists who tabulated the histopathologic findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Just over half of biopsies showed subepidermal clefting (54%). The histologic variants included: urticarial or eczematous findings (17%), partial or complete re\u2010epithelialization (28%), and epidermal necrosis (7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While re\u2010epithelialization of subepidermal blisters is a commonly accepted phenomenon, there are no published data demonstrating its incidence. Because only half of the biopsies showed the classic subepidermal blister, it is important to be aware of the spectrum of histopathologic findings that occur in this disease. Specifically, the presence of an intraepidermal blister and\/or epidermal necrosis on routine H&amp;E\u2010stained specimens does not preclude the diagnosis of pemphigoid.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cup.13343","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T02:30:36Z","timestamp":1535077836000},"page":"831-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["The spectrum of histopathologic findings in pemphigoid: Avoiding diagnostic pitfalls"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7892-9624","authenticated-orcid":false,"given":"Bonnie D.","family":"Hodge","sequence":"first","affiliation":[{"name":"University of Mississippi Medical Center School of Medicine  Jackson 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