Evidence map›Paper›PMID 28492232›Full record

ReviewNature reviews. Disease primers2017

Pemphigus.

Michael Kasperkiewicz, Christoph T Ellebrecht, Hayato Takahashi, Jun Yamagami, Detlef Zillikens, Aimee S Payne, Masayuki Amagai

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06863454 (Trichoscopy as a Monitoring Tool for Activity and Remission in Pemphigus Vulgaris), which is not on this map. Cited by 239 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
239citing papers in PubMed, 4 pooled it
28.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06863454 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Trichoscopy as a Monitoring Tool for Activity and Remission in Pemphigus Vulgaris: A Clinical Study Supported by Immunological Evaluation.

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled62ConditionsPemphigus Vulgaris (PV)ArmsTrichoscopy
3 · Its place in the literature

Who cites it

239 citing papers in PubMed, 4 syntheses or guidelines pooled it, 485 citations in OpenAlex.

  1. European S2k guidelines on management of autoimmune blistering diseases in children and adolescents.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. [New treatment options for autoimmune bullous diseases].Dermatologie (Heidelberg, Germany) · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

179 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Michael KasperkiewiczDepartment of Dermatology, University of Lübeck, Lübeck, Germany.
Christoph T EllebrechtDepartment of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Hayato TakahashiDepartment of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Jun YamagamiDepartment of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Detlef ZillikensDepartment of Dermatology, University of Lübeck, Lübeck, Germany.
Aimee S PayneDepartment of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Masayuki AmagaiDepartment of Dermatology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Keio University Hospital · JPUniversity of Lübeck · DEUniversity of Pennsylvania · US

Funding

Engineering disease-specific T cells for pemphigus therapyR01AR068288 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI PAYNE, AIMEE S · 2015 to 2019
$1.8M
Role of autoantibody isotype in pemphigus pathogenesisR01AR057001 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI PAYNE, AIMEE S · 2010 to 2014
$1.7M
Structure and Function of Human Pemphigus AutoantibodiesR56AR064220 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI PAYNE, AIMEE S · 2014 to 2014
$400k
NIAMS NIH HHS R01 AR057001NIAMS NIH HHS R01 AR068288NIAMS NIH HHS R56 AR064220
6 · The paper itself

Abstract

Pemphigus is a group of IgG-mediated autoimmune diseases of stratified squamous epithelia, such as the skin and oral mucosa, in which acantholysis (the loss of cell adhesion) causes blisters and erosions. Pemphigus has three major subtypes: pemphigus vulgaris, pemphigus foliaceus and paraneoplastic pemphigus. IgG autoantibodies are characteristically raised against desmoglein 1 and desmoglein 3, which are cell-cell adhesion molecules found in desmosomes. The sites of blister formation can be physiologically explained by the anti-desmoglein autoantibody profile and tissue-specific expression pattern of desmoglein isoforms. The pathophysiological roles of T cells and B cells have been characterized in mouse models of pemphigus and patients, revealing insights into the mechanisms of autoimmunity. Diagnosis is based on clinical manifestations and confirmed with histological and immunochemical testing. The current first-line treatment is systemic corticosteroids and adjuvant therapies, including immunosuppressive agents, intravenous immunoglobulin and plasmapheresis. Rituximab, a monoclonal antibody against CD20

Indexed as

Adrenal Cortex HormonesAnimalsAutoantibodiesDesmoglein 1Desmoglein 3Disease Models, AnimalHumansImmunoglobulin GImmunoglobulins, IntravenousMicePemphigusPlasmapheresisTreatment OutcomeAdrenal Cortex HormonesAutoantibodiesDesmoglein 1Desmoglein 3Immunoglobulin GImmunoglobulins, Intravenous

Identifiers

PMID28492232
PMCPMC5901732
OpenAlexW4210972925

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.