Evidence map›Paper›PMID 29920976›Full record

Observational studyJournal of diabetes investigation2019

Dipeptidyl peptidase-4 inhibitors-associated bullous pemphigoid: A retrospective study of 168 pemphigoid and 9,304 diabetes mellitus patients.

Yohei Kawaguchi, Risa Shimauchi, Nobuhiro Nishibori, Kiyohito Kawashima, So Oshitani, Atsushi Fujiya, Taiga Shibata, Norimi Ohashi, Kentaro Izumi, Wataru Nishie and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
7.0field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 61 citations in OpenAlex.

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  10. COVID-19 in Relation to Hyperglycemia and Diabetes Mellitus.Frontiers in cardiovascular medicine · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Yohei KawaguchiDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.ORCID http://orcid.org/0000-0002-1027-5038
Risa ShimauchiDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Nobuhiro NishiboriDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Kiyohito KawashimaDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
So OshitaniDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Atsushi FujiyaDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.ORCID http://orcid.org/0000-0001-5039-4931
Taiga ShibataDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Norimi OhashiDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Kentaro IzumiDepartment of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Wataru NishieDepartment of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hiroshi ShimizuDepartment of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hiroshi ArimaDepartment of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroshi SobajimaDepartment of Diabetology and Nephrology, Ogaki Municipal Hospital, Ogaki, Japan.
Ogaki Municipal Hospital · JPHokkaido University · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionBullous pemphigoid (BP) might be drug-induced. The present study evaluated the relationship between BP and dipeptidyl peptidase-4 inhibitors (DPP4Is). MATERIALS AND

methodsWe recruited patients diagnosed with BP at Ogaki Municipal Hospital from 1 December 2009 through 31 December 2017. We retrospectively collected data from medical records and divided patients into two groups based on whether they received DPP4Is. Additionally, we determined the incidence of BP in patients who were first prescribed DPP4Is at our hospital during the study period.

resultsOf 168 patients diagnosed with BP, 133 (79.1%) were positive for anti-BP180NC16a antibody. A total of 32 (19.0%) patients had been prescribed a DPP4I, 21 of whom (65.6%) were positive for anti-BP180NC16a antibody; this rate was lower than that in patients not receiving a DPP4I (82.3%; P = 0.0360). A total of 16 patients with type 2 diabetes mellitus had not been prescribed a DPP4I; only one (6.3%) was positive for anti-BP180NC16a antibody (P = 0.0339). During the study period, 9,304 patients were prescribed DPP4Is, eight of whom developed BP; six (75.0%) had non-inflammatory BP, and five of the six (83.3%) were negative for anti-BP180NC16a antibody.

conclusionsThe positive rate of anti-BP180NC16a antibody was lower in BP patients with DPP4I than without DPP4I, regardless of type 2 diabetes mellitus. The antibody titer was low in both the overall and type 2 diabetes mellitus populations. The prevalence of BP in 9,304 patients receiving DPP4Is was 0.0859%, which is higher than that in the general population. As DPP4Is are common diabetes treatments, we must be aware of the risk of BP.

Indexed as

AgedBiomarkersBlood GlucoseDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsFemaleFollow-Up StudiesGlycated HemoglobinHumansIncidenceJapanMalePemphigoid, BullousPrognosisRetrospective StudiesBiomarkersBlood GlucoseDipeptidyl-Peptidase IV InhibitorsGlycated Hemoglobinhemoglobin A1c protein, humanBullous pemphigoidDipeptidyl peptidase-4 inhibitorsDrug side-effect

Identifiers

PMID29920976
PMCPMC6400158
OpenAlexW2809062680

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Registered trials

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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.