Evidence map›Paper›PMID 33058320›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2021

IgE autoantibodies in serum and skin of non-bullous and bullous pemphigoid patients.

A Lamberts, N Kotnik, G F H Diercks, J M Meijer, G Di Zenzo, H H Pas, M F Jonkman, B F Gibbs, U Raap, B Horváth

Open access · hybridAbstract read
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Bullous pemphigoid.Nature reviews. Disease primers · 2025
    Review
  3. Review
  4. Article
  5. Effectiveness and safety of Dupilumab for the treatment at 104 weeks of recalcitrant bullous pemphigoid.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2023
    Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. [Alpha-gal syndrome : Overview of clinical presentation and pathophysiology].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2022
    Review
  11. Review
  12. Dyshidrosiform Bullous Pemphigoid.Medicina (Kaunas, Lithuania) · 2021
    Review
  13. Article
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

10 authors at 3 institutions in 3 countries.

A LambertsDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-6357-5264
N KotnikDepartment of Experimental Dermatology and Allergology, University of Oldenburg, Oldenburg, Germany.
G F H DiercksDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-8053-216X
J M MeijerDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-7654-3528
G Di ZenzoMolecular and Cell Biology Laboratory, Istituto Dermopatico dell'Immacolata, IDI-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0001-6106-599X
H H PasDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-8823-2591
M F JonkmanDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
B F GibbsDepartment of Experimental Dermatology and Allergology, University of Oldenburg, Oldenburg, Germany.ORCID https://orcid.org/0000-0002-0537-228X
U RaapDepartment of Experimental Dermatology and Allergology, University of Oldenburg, Oldenburg, Germany.ORCID https://orcid.org/0000-0002-9573-4714
B HorváthDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-8559-3674
University Medical Center Groningen · NLCarl von Ossietzky Universität Oldenburg · DEIstituto Dermopatico dell'Immacolata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-bullous pemphigoid (NBP) is a pemphigoid variant which frequently resembles other pruritic skin diseases. In contrast with bullous pemphigoid (BP), blisters are absent. In BP, previous studies showed that IgE autoantibodies may be involved in its pathogenesis. IgE-activated mast cells, basophils and eosinophils may participate in BP by inducing pruritus and possibly blister formation, although the differential role of IgE in NBP compared with BP has not yet been described.

objectiveTo assess IgE in serum and skin of NBP and BP patients.

methodsWe examined total IgE and pemphigoid-specific IgE in the serum of 68 NBP and 50 BP patients by enzyme-linked immunosorbent assay (ELISA). Sera of 25 pemphigus patients and 25 elderly patients with pruritus were included as controls. Skin biopsies of 14 NBP and 14 BP patients with the highest IgE titres to NC16A were stained for IgE by immunofluorescence techniques.

resultsTotal IgE was elevated in 63% of NBP and 60% of BP patients, and in 20% of pemphigus controls, as well as 60% of elderly controls. IgE ELISAs were more frequently positive in BP than in NBP (NC16A 18% vs. 9%, P = 0.139; BP230 34% vs. 22%, P = 0.149). IgE ELISAs for NC16A and BP230 were positive in 8% and 20% of elderly controls, respectively, while all pemphigus controls were negative. Two of 28 biopsies (7%; one NBP, one BP) showed linear IgE along the basement membrane zone, while in most biopsies (71% NBP; 86% BP) IgE was bound to dermal cells.

conclusionSince IgE was present in the serum and skin of both NBP and BP patients, this supports IgE-dependent mechanisms common to both diseases, such as pruritus. However, it remains to be elucidated whether IgE contributes to blister formation in BP.

Indexed as

Pemphigoid, BullousAgedAutoantibodiesAutoantigensEnzyme-Linked Immunosorbent AssayHumansImmunoglobulin ENon-Fibrillar CollagensAutoantibodiesAutoantigensImmunoglobulin ENon-Fibrillar Collagens

Identifiers

PMID33058320
PMCPMC7983951
OpenAlexW3093438740

What OpenQuestion holds

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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.