Evidence map›Paper›PMID 34606884›Full record

ArticleThe Journal of investigative dermatology2022

TSST-1

Kelly N Messingham, Michael P Cahill, Samuel H Kilgore, Ananya Munjal, Patrick M Schlievert, Janet A Fairley

Open access · greenAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2022. 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
1.7field-weighted citation impact, top 17% 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, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Selective Expansion of TCR Vβ2Experimental dermatology · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. DNA and cell biology · 2024
    Review
  9. Review
  10. Article
  11. Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  12. Microbiology spectrum · 2023
    Article
  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

6 authors at 1 institution in 1 country.

Kelly N MessinghamDepartment of Dermatology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA. Electronic address: kelly-messingham@uiowa.edu.
Michael P CahillDepartment of Microbiology and Immunology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Samuel H KilgoreDepartment of Microbiology and Immunology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Ananya MunjalDepartment of Dermatology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Patrick M SchlievertDepartment of Microbiology and Immunology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
Janet A FairleyDepartment of Dermatology, Carver College of Medicine, The University of Iowa, Iowa City, Iowa, USA.
University of Iowa · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Modulation of Cutaneous Autoimmunity by Staphylococcus AureusR21AG065980 · NIA · UNIVERSITY OF IOWA · PI FAIRLEY, JANET A, MESSINGHAM, KELLY A.N. · 2020 to 2021
$439k
NCATS NIH HHS UL1 TR002537NIA NIH HHS R21 AG065980
6 · The paper itself

Abstract

A potential role of Staphylococcus aureus in bullous pemphigoid was explored by examining the colonization rate in patients with new-onset disease compared with that in age- and sex-matched controls. S. aureus colonization was observed in 85% of bullous pemphigoid lesions, 3-6-fold higher than the nares or unaffected skin from the same patients (P ≤ 0.003) and 6-fold higher than the nares or skin of controls (P ≤ 0.0015). Furthermore, 96% of the lesional isolates produced the toxic shock syndrome toxin-1 superantigen, and most of these additionally exhibited homogeneous expression of the enterotoxin gene cluster toxins. Toxic shock syndrome toxin-1‒neutralizing antibodies were not protective against colonization. However, S. aureus colonization was not observed in patients who had recently received antibiotics, and the addition of antibiotics with staphylococcal coverage eliminated S. aureus and resulted in clinical improvement. This study shows that toxic shock syndrome toxin-1‒positive S. aureus is prevalent in bullous pemphigoid lesions and suggests that early implementation of antibiotics may be of benefit. Furthermore, our results suggest that S. aureus colonization could provide a source of infection in patients with bullous pemphigoid, particularly in the setting of high-dose immunosuppression.

Indexed as

Pemphigoid, BullousStaphylococcal InfectionsAnti-Bacterial AgentsBacterial ToxinsEnterotoxinsHumansStaphylococcus aureusSuperantigensAnti-Bacterial AgentsBacterial Toxinsenterotoxin F, StaphylococcalEnterotoxinsSuperantigens

Identifiers

PMID34606884
PMCPMC9215375
OpenAlexW3152848082

What OpenQuestion holds

Textmetadata
LicenceTDM
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.