Evidence map›Paper›PMID 30511379›Full record

ArticleBritish journal of clinical pharmacology2019

Drug-induced linear immunoglobulin A bullous dermatosis: A French retrospective pharmacovigilance study of 69 cases.

Bethsabée Garel, Saskia Ingen-Housz-Oro, Daniele Afriat, Catherine Prost-Squarcioni, Florence Tétart, Benoit Bensaid, Corina Bara Passot, Marie Beylot-Barry, Vincent Descamps, Sophie Duvert-Lehembre and 7 more

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinical characteristics and treatment outcomes of linear IgA bullous dermatosis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Glycopeptide Hypersensitivity and Adverse Reactions.Pharmacy (Basel, Switzerland) · 2020
    Review
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

17 authors.

Bethsabée GarelDepartment of Dermatology, Assistance Publique-Hôpitaux de Paris (APHP), Henri-Mondor Hospital, 94010, Créteil, France.ORCID 0000-0003-2717-4716
Saskia Ingen-Housz-OroDepartment of Dermatology, Assistance Publique-Hôpitaux de Paris (APHP), Henri-Mondor Hospital, 94010, Créteil, France.
Daniele AfriatRegional Center of Pharmacovigilance, APHP, Pitié-Salpêtrière Hospital, Paris, France.
Catherine Prost-SquarcioniDermatology Department, APHP, Avicenne Hospital, Bobigny, France.ORCID 0000-0002-9197-936X
Florence TétartDepartment of Dermatology, Rouen University Hospital, Rouen, France.
Benoit BensaidDrug Allergy Unit-CCR2A, Department of Allergy and Clinical Immunology, CHU Lyon-Sud, Pierre Benite, France.
Corina Bara PassotDepartment of Dermatology, Le Mans Hospital, Le Mans, France.
Marie Beylot-BarryDepartment of Dermatology, Bordeaux University Hospital, Bordeaux, France.
Vincent DescampsDepartment of Dermatology, APHP, Bichat Claude Bernard Hospital, Paris Diderot University.
Sophie Duvert-LehembreDepartment of Dermatology, University Hospital of Lille, Lille, France.
Sabine Grootenboer-MignotDepartment of Immunology, APHP, Bichat Claude Bernard Hospital, Paris, France.
Géraldine JeudyDepartment of Dermatology, Dijon University Hospital, Dijon, France.
Angèle SoriaDepartment of Dermatology and Allergology, APHP, Tenon Hospital, Paris, France.ORCID 0000-0002-8726-6658
Marie Blanche Valnet-RabierRegional Center of Pharmacovigilance, University Hospital Jean Minjoz, Besançon, France.
Annick BarbaudReference Center for toxic bullous diseases and severe drug reactions, Créteil, France.ORCID 0000-0001-8889-1589
Frédéric CauxDermatology Department, APHP, Avicenne Hospital, Bobigny, France.
Bénédicte Lebrun-VignesEA 7379 EpiDermE, Université Paris Est Créteil Val de Marne UPEC, Créteil, France.ORCID 0000-0001-6676-5063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLinear immunoglobin A (IgA) bullous dermatosis is a rare autoimmune dermatosis considered spontaneous or drug-induced (DILAD). We assessed all DILAD cases, determined the imputability score of drugs and highlighted suspected drugs.

methodsData for patients with DILAD were collected retrospectively from the French Pharmacovigilance network (from 1985 to 2017) and from physicians involved in the Bullous Diseases French Study Group and the French Investigators for Skin Adverse Reactions to Drugs. Drug causality was systematically determined by the French imputability method.

resultsOf the 69 patients, 42% had mucous membrane involvement, 20% lesions mimicking toxic epidermal necrolysis (TEN), 21% eosinophil infiltrates and 10% keratinocytes necrosis. Direct immunofluorescence, in 80%, showed isolated linear IgA deposits. Vancomycin (VCM) was suspected in 39 cases (57%), 11 had TEN-like lesions, as compared with three without VCM suspected. Among the 33 patients with a single suspected drug, 85% had an intrinsic imputability score of I4. Among them, enoxaparin, minocycline and vibramycin were previously unpublished. For all patients, the suspect drug was withdrawn; 15 did not receive any treatment. First-line therapy for 31 patients was topical steroids. Among the 60 patients with available follow-up, 52 achieved remission, 10 without treatment. Four patients experienced relapse, four died and five had positive accidental rechallenges.

conclusionsThere is no major clinical difference between DILAD and idiopathic linear IgA bullous dermatosis, but the former features a higher prevalence of patients mimicking TEN. VCM, suspected in more than half of the cases, might be responsible for more severe clinical presentations. We report three new putative drugs.

Indexed as

PharmacovigilanceAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDatabases, FactualDiagnosis, DifferentialDoxycyclineDrug MonitoringEnoxaparinFemaleFranceHumansLinear IgA Bullous DermatosisDoxycyclineEnoxaparinMinocyclineVancomycindrug reactionIgA bullous dermatosisimputabilitylinear IgA bullous dermatosispharmacovigilancevancomycin

Identifiers

PMID30511379
PMCPMC6379232

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.