The mnemonic
Fish net, Line, Grain
What each word stands for
- Fish netPemphigus: intercellular IgG
- LineBullous pemphigoid: linear IgG and C3 at basement membrane
- GrainDermatitis herpetiformis: granular IgA in dermal papillae
Why it matters clinically
A common exam question that links the pattern to the disease.
Where it stops being reliable
Linear IgA disease also shows a linear pattern, but with IgA.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.