Evidence map›Paper›PMID 41795768›Full record

ArticleDermatology and therapy2026

Real-World Burden of Generalized Pustular Psoriasis in a French Observational Study: Prevalence, Incidence, Healthcare Resource Utilization, Comorbidities, Treatment Use, and Mortality.

Manuelle Viguier, Denis Jullien, Laurent Misery, Christian Kromer, Maja Mockenhaupt, Bhargav Lakshminarasimhan, Marie Najean, Nichiren Pillai, Shah Alam Khan, Alice B Gottlieb

Abstract read
In one paragraph

Article in Dermatology and therapy, 2026. 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
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Manuelle ViguierService de Dermatologie, Hôpital Robert Debré, Université de Reims Champagne-Ardenne, Reims, France. mviguier@chu-reims.fr.ORCID http://orcid.org/0000-0001-9049-8700
Denis JullienService de Dermatologie, Hôpital E. Herriot, Hospices Civils de Lyon, University of Lyon, Lyon, France.ORCID http://orcid.org/0000-0002-2995-7928
Laurent MiseryDepartment of Dermatology, Venereology and Allergology and French Expert Centre On Pruritus, University Hospital of Brest, Brest, France.ORCID http://orcid.org/0000-0001-8088-7059
Christian KromerDepartment of Dermatology, University Medical Center Göttingen, Göttingen, Germany.ORCID http://orcid.org/0000-0003-2197-4907
Maja MockenhauptDepartment of Dermatology, Dokumentationszentrum Schwerer Hautreaktionen (dZh), Medical Center-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-6596-1684
Bhargav LakshminarasimhanBoehringer Ingelheim International GmbH, Ingelheim, Germany.ORCID http://orcid.org/0009-0006-2263-1366
Marie NajeanBoehringer Ingelheim International GmbH, Ingelheim, Germany.ORCID http://orcid.org/0009-0001-0534-8650
Nichiren PillaiBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Shah Alam KhanBoehringer Ingelheim International GmbH, Ingelheim, Germany.
Alice B GottliebDepartment of Dermatology, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-2927-8618

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGeneralized pustular psoriasis (GPP) is rare, chronic, and associated with life-threatening complications. We investigated the burden of GPP in France.

methodsUsing data from 2010 to 2021 in the Système National des Données de Santé database, healthcare resource utilization (HCRU), costs, comorbidities, mortality, and treatments were compared among GPP (N = 4351), plaque psoriasis (N = 12,945), and general population (N = 12,981) cohorts, matched for sex, age, Charlson Comorbidity Index (CCI) score, and region. GPP prevalence and incidence were also investigated.

resultsAnnually, there were 0.5-0.8 new GPP cases per 100,000 people. Across the cohorts, 54.5-54.7% of people were male, with mean age 58.7-59.5 years and mean CCI score 1.98-2.06. The GPP cohort incurred significantly greater HCRU and costs versus the plaque psoriasis and general population cohorts, including greater proportions of patients receiving emergency care (78% vs 63% and 55%) and intensive care (28% vs 17% and 14%), longer hospitalizations (mean 38.5 vs 26.2 and 22.4 days per patient), and higher medication costs (€4360 vs €1991 and €1543 per patient-year), respectively. Despite similar CCI scores, GPP was associated with more cardiometabolic and psychological comorbidities versus the plaque psoriasis and general population cohorts, e.g., hypertension (37% vs 21% and 20%), obesity (21% vs 9% and 6%), depression (13% vs 4% and 4%), alcohol abuse (16% vs 3% and 3%), and sleep disorders (8% vs 4% and 3%), respectively. Treatments in the GPP cohort were those used for plaque psoriasis, including topical steroids (77%), systemic steroids (50%), and biologics (23%). Twelve-month survival was 86.9% (GPP), 97.5% (plaque psoriasis), and 90.0% (the general population).

conclusionHCRU, costs, and comorbidities with GPP were often double those for comparator cohorts, and mortality was higher. These findings highlight the need to use GPP-targeted treatments that improve patient outcomes and may reduce the burden on healthcare systems.

Indexed as

ComorbidityFranceGeneralized pustular psoriasisHealthcare resource utilizationIncidenceMortalityPlaque psoriasisPrevalenceTreatment use

Identifiers

PMID41795768
PMCPMC13046982

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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.