A Case Report on Staged Treatment of Linear IgA Bullous Dermatosis Based on Latent Dampness Theroy
CHEN Jiaqi
XUE Guohua
GUO Xiaoyang
XU Haonan
ZHOU Dongmei
Abstract：This article summarizes the diagnosis and treatment process of traditional Chinese and Western medicine for a patient with linear IgA bullous dermatosis(LABD).The patient presented with"erythema and vesicles on the body for 1 year"and was diagnosed with LABD through histopathology and direct immunofluo-rescence.LABD is a rare autoimmune subepidermal blistering disease,and there is a lack of relevant literature on traditional Chinese medicine treatments.This article discusses the changes in pathogenesis,therapeutic principles,and prescription strategies at different stages of this case,proposing that"constitutional intolerance,submersion of dampness,and exacerbation due to additional factors"are the primary causes for the onset of LABD,with"latent dampness harboring toxins,as well as deficiency of both the spleen and the kidney"as the core pathogenesis.In the early stage of treatment,emphasis should be placed on eliminating dampness and detoxifying,while in the later stage of treatment,the focus should shift to tonifying both the spleen and the kidney,and harmonizing yin and yang.Additionally,the influence of drug toxicity on causing diseases and the effect of drugs on the changes in disease condition should also be considered.Integrated traditional Chinese and Western medicine in the treatment of LABD has the effects of relieving symptoms,delaying recurrence,shortening the course of Western medicine treatment,and reducing adverse reactions to Western medicine.However,the relevant theoretical system still needs improvement.
Keywords：linear IgA bullous dermatosislatent dampness harboring toxinseliminating dampness and detoxifyingnourishing both the spleen and the kidneydrug toxicity
Publication Date：2025-09-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：5( 1042-1046 )