Evidence map›Paper›PMID 36092265›Full record

ArticleSkin health and disease2022

Indirect immunofluorescence on rat bladder epithelium in patients with pemphigus vulgaris with an extended follow-up.

Mahsa Samadi, Anahita Najafi, Amir Naziriyan, Roja Toosi, Atefeh Faramarzi, Kamran Balighi, Pedram Noormohammadpour, Hamidreza Mahmoudi, Maryam Daneshpazhooh

Open access · goldAbstract read
In one paragraph

Article in Skin health and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 1 country.

Mahsa SamadiSchool of Medicine Tehran University of Medical Sciences Tehran Iran.
Anahita NajafiSchool of Medicine Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-9191-9172
Amir NaziriyanSchool of Medicine Tehran University of Medical Sciences Tehran Iran.
Roja ToosiDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.
Atefeh FaramarziDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.
Kamran BalighiDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.
Pedram NoormohammadpourDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.
Hamidreza MahmoudiDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-1890-1005
Maryam DaneshpazhoohDepartment of Dermatology Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-1020-8895
Tehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Indirect immunofluorescence (IIF) on rat bladder epithelium (RBE) has been widely used to detect anti-plakin antibodies present in paraneoplastic pemphigus (PNP). However, anti-plakin antibodies have also been found in a group of patients with pemphigus vulgaris (PV). Objectives: To assess the reactivity rate of PV sera in IIF using RBE as substrate and the diagnostic usefulness of the aforementioned test. Methods: Patients diagnosed with PV presenting to Razi Hospital, Tehran, Iran, were recruited. The patients' demographics, disease severity, and response to the initial treatment were recorded. Sera were collected and tested by IIF on RBE and by desmoglein 3/1 (Dsg 3/1) enzyme-linked immunosorbent assay. Patients were followed up closely for a mean of 53.9 months for any evidence of malignancy. Results: Forty-six patients were enroled (mean age of 42.9 years old, 31 females). Nine sera (19.6%) showed reactivity in IIF on RBE. Mean serum anti-Dsg levels did not differ significantly among the two groups with positive and negative IIF results. Negative anti-Dsg3 was related to a higher positive rate in IIF on RBE. There was no significant correlation between the reactivity of IIF on RBE and patients' demographic, clinical, or serological characteristics. Conclusions: IIF on RBE is a sensitive test for detecting antibodies against plakins. However, it has a relatively high false-positive rate in PV, probably due to the epitope spreading phenomenon. This test should be suggested when there is a clinical or immunohistopathological suspicion of PNP and should be interpreted with caution.

Identifiers

PMID36092265
PMCPMC9435460
OpenAlexW4283265064

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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.