Evidence map›Paper›PMID 39460496›Full record

ReviewThe Journal of dermatology2024

Pemphigus relapse: Mechanisms, risk factors, and agents associated with disease recurrence.

Gaurav N Pathak, Priya Agarwal, Sydney M Wolfe, Kush H Patel, Jimmy Dhillon, Babar K Rao

Abstract readReview
In one paragraph

Review in The Journal of dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. [Characterization of Immune Reconstitution Patterns in B-cell Subsets Mediated by B-cell Targeted Therapies].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
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.

Gaurav N PathakDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.ORCID https://orcid.org/0000-0002-8383-4451
Priya AgarwalDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.
Sydney M WolfeDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.
Kush H PatelDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.
Jimmy DhillonDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.
Babar K RaoDepartment of Dermatology, Rutgers Robert Wood Johnson Medical School, Somerset, New Jersey, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pemphigus represents a spectrum of potentially life-threatening autoimmune-mediated skin blistering conditions caused by antibody production against desmoglein 1 and 3 (anti-DSG 1 and 3) in keratinocytes. Greater than 50% of pemphigus patients experience relapse, which complicates long-term medical management, including risks associated with re-treatment and complications such as infection and dehydration. This review aims to elucidate mechanisms, risk factors, and medications associated with pemphigus relapse. Mechanisms of relapse include the persistence of auto-reactive B-cell populations post-treatment and CD20- B-cell populations that reactivate after B-cell depletion therapy. Risk factors for relapse include high body surface area (BSA) of pemphigus involvement, high body mass index, high severity according to the Pemphigus Disease Area Index (PDAI) at onset, treatment delay, and high anti-DSG1 and DSG3 titers post-treatment. Targeted B-cell localization is associated with better clinical outcomes, including less frequent relapses. Rituximab is currently the gold standard of treatment for moderate-severe pemphigus and has relapse rates of 11%-44% in selected studies, with a mean time to relapse of 5.8 months to 36 months following treatment. Relapse rates across lymphoma dosing (375 mg/m

Indexed as

PemphigusRituximabAutoantibodiesB-LymphocytesDesmoglein 1Desmoglein 3HumansImmunosuppressive AgentsRecurrenceRisk FactorsSeverity of Illness IndexAutoantibodiesDesmoglein 1Desmoglein 3Immunosuppressive AgentsRituximabpemphiguspemphigus foliaceuspemphigus vulgarisrelapserituximab

Identifiers

PMID39460496
PMCPMC11624153

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.