Evidence map›Paper›PMID 34878495›Full record

ArticleJAMA dermatology2022

Evaluation of a Case Series of Patients With Palmoplantar Pustulosis in the United States.

Megan H Noe, Marilyn T Wan, Arash Mostaghimi, Joel M Gelfand, Pustular Psoriasis in the US Research Group, Ritesh Agnihothri, April W Armstrong, Tina Bhutani, Alina Bridges, Nicholas Brownstone and 39 more

Open access · greenAbstract read
In one paragraph

Article in JAMA dermatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Ethnic Differences of Palmoplantar Pustulosis: A Systematic Review.American journal of clinical dermatology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

49 authors at 20 institutions in 1 country.

Megan H NoeDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Marilyn T WanDepartment of Internal Medicine, Memorial Hospital West, Pembroke Pines, Florida.
Arash MostaghimiDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Joel M GelfandDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Pustular Psoriasis in the US Research Group
Ritesh AgnihothriDepartment of Dermatology, University of Rochester, School of Medicine & Dentistry, Rochester, New York.
April W ArmstrongDepartment of Dermatology, Keck Hospital of USC, University of Southern California Keck School of Medicine, Los Angeles, California.
Tina BhutaniDepartment of Dermatology, UCSF Medical Center, University of California San Francisco School of Medicine.
Alina BridgesDepartment of Dermatology, Mayo Clinic Graduate School of Education, Rochester, Minnesota.
Nicholas BrownstoneDepartment of Dermatology, Psoriasis and Skin Treatment Center, University of California San Francisco.
Melissa ButtDepartment of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Kristina P Callis DuffinDepartment of Dermatology, University of Utah, Salt Lake City.
Christian CarrUniversity of Texas Southwestern Medical Center, Dallas.
Andrew CreadoreDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Katherine L DeNiroDivision of Dermatology, Department of Medicine, University of Washington, Seattle.
Sheena DesaiDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Arturo R DominguezDepartments of Dermatology and Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
Emily K DuffyDivision of Dermatology, Department of Medicine, University of Washington, Seattle.
Janet A FairleyDepartment of Dermatology, University of Iowa Carver College of Medicine, Iowa City.
Alisa FemiaRonald O. Perelman Department of Dermatology, NYU Langone Hospitals, New York University Grossman School of Medicine, New York, New York.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor.
Jessica A KaffenbergerDivision of Dermatology, The Ohio State University Wexner Medical Center, Columbus.
Kimberly L KatzDepartment of Dermatology, Medical College of Wisconsin, Milwaukee.
Joslyn S KirbyDepartment of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Stephanie T LeDepartment of Dermatology, University of California, Davis School of Medicine, Sacramento.
Edgar MartinezUniversity of Texas Southwestern Medical Center, Dallas.
Emanual MaverakisDepartment of Dermatology, University of California, Davis School of Medicine, Sacramento.
Bridget MyersUniversity of California San Francisco School of Medicine.
Haley B NaikDepartment of Dermatology, UCSF Medical Center, University of California San Francisco School of Medicine.
Caroline A NelsonDepartment of Dermatology, Yale School of Medicine, New Haven, Connecticut.
Alex G Ortega-LoayzaDepartment of Dermatology, Oregon Health and Science University School of Medicine, Portland.
Molly E PlovanichDepartment of Dermatology, University of Rochester, School of Medicine & Dentistry, Rochester, New York.
Lauren K RangelRonald O. Perelman Department of Dermatology, NYU Langone Hospitals, New York University Grossman School of Medicine, New York, New York.
Vignesh RaviDepartment of Dermatology, Keck Hospital of USC, University of Southern California Keck School of Medicine, Los Angeles, California.
Vidhatha D ReddyUniversity of California San Francisco School of Medicine.
Jamal Z SalehDepartment of Dermatology, Medical College of Wisconsin, Milwaukee.
Jeena K SandhuDepartment of Dermatology, Keck Hospital of USC, University of Southern California Keck School of Medicine, Los Angeles, California.
Hadir ShakshoukDepartment of Dermatology, Mayo Clinic, Rochester, Minnesota.
Bridget E ShieldsDepartment of Dermatology, School of Medicine and Public Health, University of Wisconsin, Madison.
Zakariyah Sharif-SidiDepartment of Dermatology, Medical College of Wisconsin, Milwaukee.
Jacob SmithOregon Health and Science University School of Medicine, Portland.
Amanda SteahrDepartment of Dermatology, University of Iowa Carver College of Medicine, Iowa City.
Atrin ToussiDepartment of Dermatology, University of California, Davis School of Medicine, Sacramento.
Karolyn A WanatDepartment of Dermatology, Medical College of Wisconsin, Milwaukee.
Bo WangDepartment of Dermatology, University of Michigan, Ann Arbor.
Brian M WeiYale School of Medicine, New Haven, Connecticut.
Annika WeinhammerDepartment of Dermatology, School of Medicine and Public Health, University of Wisconsin, Madison.
Scott D WorswickDepartment of Dermatology, Keck Hospital of USC, University of Southern California Keck School of Medicine, Los Angeles, California.
Alexander YangYale School of Medicine, New Haven, Connecticut.
Medical College of Wisconsin · USHarvard University · USThe University of Texas Southwestern Medical Center · USUniversity of California, Davis · USUniversity of California, San Francisco · USYale University · USKeck Hospital of USC · USMayo Clinic · USNew York University · USOregon Health & Science University · USPenn State Milton S. Hershey Medical Center · USUniversity of California San Francisco Medical Center · USUniversity of Iowa · USUniversity of Michigan–Ann Arbor · USUniversity of Rochester · USUniversity of Southern California · USUniversity of Washington · USUniversity of Wisconsin–Madison · USBrigham and Women's Hospital · USMemorial Hospital · US

Funding

Microbial Shifts and Immune Dysregulation in Hidradenitis Suppurativa PathogenesisK23AR074531 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAIK, HALEY · 2019 to 2023
$887k
Respiratory infections and vaccination behaviors in patients with chronic inflammatory skin diseasesK23AR073932 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI NOE, MEGAN H · 2018 to 2022
$766k
NIAMS NIH HHS K23 AR073932NIAMS NIH HHS K23 AR074531
6 · The paper itself

Abstract

importancePalmoplantar pustulosis (PPP) is a is a chronic, orphan disease with limited epidemiological data.

objectiveTo describe the clinical characteristics, treatments, longitudinal disease course, and health care utilization in adults with PPP across the US. DESIGN, SETTING, AND

participantsThis retrospective, longitudinal case series from 20 academic dermatology practices in the US included a consecutive sample of 197 adults who met the European Rare and Severe Psoriasis Expert Network consensus definition for PPP between January 1, 2007, and December 31, 2018. Data analysis was performed June 2020 to December 2020. MAIN OUTCOMES AND MEASURES: The primary outcome was to describe the patient characteristics, associated medical comorbidities, treatment patterns, complications, and PPP-specific health care utilization.

resultsOf 197 patients, 145 (73.6%) were female, and the mean (SD) age at presentation was 53.0 (12.6) years, with a mean (SD) follow-up time of 22.1 (28.0) months. On initial presentation, 95 (48.2%) patients reported skin pain, and 39 (19.8%) reported difficulty using hands and/or feet. Seventy patients (35.5%) were treated with systemic treatments, and use of more than 20 different systemic therapies was reported. In patients with at least 6 months of follow-up (n = 128), a median (IQR) of 3.7 (4-10) dermatology visits per year were reported; 24 (18.8%) patients had 5 or more visits during the study period. CONCLUSIONS AND RELEVANCE: In this case series, PPP was associated with persistent symptoms, continued health care utilization, and a lack of consensus regarding effective treatments, emphasizing the unmet medical need in this population. Additional research is necessary to understand treatment response in these patients.

Indexed as

PsoriasisSkin Diseases, VesiculobullousAdultChronic DiseaseComorbidityFemaleHumansRetrospective StudiesUnited States

Identifiers

PMID34878495
PMCPMC8655660
OpenAlexW4200601331

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.