Evidence map›Paper›PMID 37547602›Full record

ArticleFrontiers in medicine2023

Autoimmune bullous dermatoses in cancer patients treated by immunotherapy: a literature review and Italian multicentric experience.

Martina Merli, Martina Accorinti, Maurizio Romagnuolo, Angelo Marzano, Giovanni Di Zenzo, Francesco Moro, Emiliano Antiga, Roberto Maglie, Emanuele Cozzani, Aurora Parodi and 18 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  8. Targeting collagen to optimize cancer immunotherapy.Experimental hematology & oncology · 2025
    Review
  9. Use of Immunoglobulin Replacement Therapy in Clinical Practice: A Review.Journal of immunotherapy and precision oncology · 2025
    Review
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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

28 authors.

Martina MerliDermatology Clinic, Department of Medical Sciences, University of Turin, Turin, Italy.
Martina AccorintiDermatology Clinic, Department of Medical Sciences, University of Turin, Turin, Italy.
Maurizio RomagnuoloDermatology Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Angelo MarzanoDermatology Unit, Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giovanni Di ZenzoLaboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata (IDI)-IRCCS, Rome, Italy.
Francesco MoroLaboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata (IDI)-IRCCS, Rome, Italy.
Emiliano AntigaSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Roberto MaglieSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Emanuele CozzaniSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Aurora ParodiSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Giulia GaspariniSection of Dermatology, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Pietro SollenaDermatology Unit, Department of Surgical and Medical Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Clara De SimoneDermatology Unit, Department of Surgical and Medical Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Marzia CaproniImmunopathology and Rare Skin Diseases Unit, Section of Dermatology, Department of Health Sciences, Azienda Unità Sanitaria Locale Toscana Centro, University of Florence, Florence, Italy.
Luigi PisanoSection of Dermatology, Department of Health Sciences, Azienda Unità Sanitaria Locale Toscana Centro, University of Florence, Florence, Italy.
Davide FattoreSection of Dermatology, Department of Clinical Medicine and Surgery, Università Degli Studi di Napoli Federico II, Naples, Italy.
Riccardo BalestriDivision of Dermatology, Outpatient Consultation for Rare Diseases, APSS, Trento, Italy.
Paolo SenaDermatology Unit ASST-Papa Giovanni XXIII, Bergamo, Italy.
Pamela VezzoliDermatology Unit ASST-Papa Giovanni XXIII, Bergamo, Italy.
Miriam TeoliPorphyria and Rare Diseases, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
Marco ArdigòPorphyria and Rare Diseases, San Gallicano Dermatological Institute IRCCS, Rome, Italy.
Camilla VassalloDermatology Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Andrea MichelerioDermatology Unit, Ospedale Cardinal Massaia, Asti, Italy.
Rosanna Rita SattaDepartment of Medical, Surgical, and Experimental Sciences, University of Sassari, Sassari, Italy.
Emi DikaMelanoma Center, Dermatology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Barbara MelottiOncology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Simone RiberoDermatology Clinic, Department of Medical Sciences, University of Turin, Turin, Italy.
Pietro QuaglinoDermatology Clinic, Department of Medical Sciences, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cutaneous immune-related adverse events are frequently associated with immune checkpoint inhibitors (ICIs) administration in cancer patients. In fact, these monoclonal antibodies bind the cytotoxic T-lymphocyte antigen-4 and programmed cell death-1/ligand 1 leading to a non-specific activation of the immune system against both tumoral cells and self-antigens. The skin is the most frequently affected organ system appearing involved especially by inflammatory manifestations such as maculopapular, lichenoid, psoriatic, and eczematous eruptions. Although less common, ICI-induced autoimmune blistering diseases have also been reported, with an estimated overall incidence of less than 5%. Bullous pemphigoid-like eruption is the predominant phenotype, while lichen planus pemphigoides, pemphigus vulgaris, and mucous membrane pemphigoid have been described anecdotally. Overall, they have a wide range of clinical presentations and often overlap with each other leading to a delayed diagnosis. Achieving adequate control of skin toxicity in these cases often requires immunosuppressive systemic therapies and/or interruption of ICI treatment, presenting a therapeutic challenge in the context of cancer management. In this study, we present a case series from Italy based on a multicenter, retrospective, observational study, which included 45 patients treated with ICIs who developed ICI-induced bullous pemphigoid. In addition, we performed a comprehensive review to identify the cases reported in the literature on ICI-induced autoimmune bullous diseases. Several theories seeking their underlying pathogenesis have been reported and this work aims to better understand what is known so far on this issue.

Indexed as

anti PD-1anti PD-L1bullous pemphigoidcutaneous irAEimmunotherapylichen planus pemphigoidesmucous membrane pemphigoidpemphigus

Identifiers

PMID37547602
PMCPMC10400335

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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.