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The neonatal Fc receptor (FcRn) is important for numerous cellular processes that involve antibody recycling and trafficking. A major function of FcRn is IgG recycling and half-life prolongation, and FcRn blockade results in a reduction of autoantibodies in IgG-mediated autoimmune diseases. In epithelial cells, FcRn functions in processes different from IgG recycling, such as antibody transcytosis in intestinal cells.

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Pemphigus and Pregnancy.

Indian Dermatol Online J

May 2024

Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Article Synopsis
  • Pemphigus during pregnancy poses risks for both the mother and fetus, often worsening in the first two trimesters due to its autoimmune nature.
  • Fetal complications can include stillbirth and neonatal pemphigus, which result from the transfer of autoantibodies through the placenta.
  • Individualized management and counseling for women with pemphigus are essential to balance treatment risks and benefits, particularly since severe cases increase the likelihood of adverse outcomes for both mother and child.
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Neonatal pemphigus vulgaris.

BMJ Case Rep

September 2024

Dermatology Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India.

Article Synopsis
  • - A newborn was treated at a specialized clinic for blisters and skin erosions, while the mother had similar skin issues since early pregnancy.
  • - Skin biopsies and antibody tests revealed both mother and baby had pemphigus vulgaris (PV), an autoimmune skin condition.
  • - The baby’s skin lesions healed naturally within two weeks, and the mother improved significantly after receiving rituximab treatment, becoming clear of symptoms by two months.
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Background And Aims: Anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines have the potential to alter several biological systems concurrently with remolding the immune system, most of which are related to immunization, while some others are known as adverse effects. This review aims to explore the potential effects of vaccination on the oral microenvironment and classifies them as good, bad, or ugly, with a brief review of facial diseases following coronavirus disease 2019 (COVID-19) vaccination.

Methods: This study was a comprehensive review conducted through searching related articles in Medline, Scopus, and Google Scholar databases.

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Pregnancy in pemphigus vulgaris: A systematic review.

Am J Reprod Immunol

January 2024

Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Problem: Pemphigus vulgaris may worsen during pregnancy, leading to both maternal and fetal complications. The relationship between pemphigus vulgaris and pregnancy remains unclear, and the outcomes and treatments of pemphigus vulgaris during pregnancy have not been extensively discussed.

Method Of Study: This article systematically reviews the literature, focusing on the relationship between pemphigus vulgaris and pregnancy.

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