Direct Immunofluorescence (DIF) Quiz

DIF is a key diagnostic tool in dermatology used to detect the deposition of immunoreactants (IgG, IgA, IgM, C3, fibrin) in autoimmune skin diseases. Master your diagnostic skills with these clinical cases!

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Case 1

DIF Case 1
IgG staining of skin biopsy from perilesional skin

Clinical History:

A 45-year-old patient presents with painful oral erosions and flaccid skin blisters. A skin biopsy was taken from perilesional skin of an erosion. The biopsy was stained with IgG, IgM, IgA, and C3.

What is your diagnosis?

Case 2

DIF Case 2
IgG staining of skin biopsy from perilesional skin

Clinical History:

A 50-year-old patient with facial erythema and blisters. A skin biopsy was taken from perilesional skin of an erosion.

What is your diagnosis?

Case 3

DIF Case 3
IgG staining of mucosal biopsy from perilesional erosion

Clinical History:

A 65-year-old patient with severe mucosal erosions and recent diagnosis of lymphoma. A mucosal biopsy was taken from perilesional mucosa of an erosion.

What is your diagnosis?

Case 4

DIF Case 4
C3 staining of skin biopsy from perilesional skin

Clinical History:

A 70-old patient with tense blisters on Lower limbs. A skin biopsy was taken from perilesional skin of a blister.

What is your diagnosis?

Case 5

DIF Case 5 Image
IgA staining of a skin biopsy from the papule

Clinical History:

A 35-year-old patient with intensely pruritic papules and vesicles on extensor surfaces. Skin biopsy was taken from a papule on the extensor surface.

What is your diagnosis?

Case 6

DIF Case 6 Image
IgG staining of skin biopsy from lesional skin

Clinical History:

A 25-year-old woman with butterfly rash and joint pain. A skin biopsy was taken from an erythematous plaque on sun-exposed skin.

What is your diagnosis?

Case 7

DIF Case 7 Image
C3 staining of skin biopsy from erythematous plaque

Clinical History:

A 25-year-old woman with butterfly rash and joint pain. A skin biopsy was taken from an erythematous plaque on sun-exposed skin.

What is your diagnosis?

Case 8

DIF Case 8 Image
C3 staining of skin biopsy from palpable purpura

Clinical History:

A 55-year-old patient with palpable purpura on lower extremities. A skin biopsy was taken from a palpable purpura lesion.

What is your diagnosis?

Case 9

DIF Case 9 Image
IgA staining of skin biopsy from palpable purpura

Clinical History:

A 8-old child with palpable purpura on lower extremities, abdominal pain, and hematuria. A skin biopsy was taken from a palpable purpura lesion.

What is your diagnosis?