Evidence map›Paper›PMID 42516098›Full record

ReviewActa dermato-venereologica2026

Clinical Characterization and Outcomes of Dupilumab for Pemphigoid Gestationis: A Case Series of Five Patients and Literature Review.

Joost M Meijer, Elise J Leeman, Dominika Grabik, Lisette M Prens, Klasiena Bouwman, Jelmer R Prins, Sanne J Gordijn, Mirthe H Schoots, Maria C Bolling, Gilles F H Diercks and 2 more

Abstract readReviewCase Reports
In one paragraph

Review in Acta dermato-venereologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Joost M MeijerDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands. j.m.meijer@umcg.nl.ORCID 0000-0001-7654-3528
Elise J LeemanDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0009-0007-0770-136X
Dominika GrabikDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.
Lisette M PrensDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0000-0002-3751-684X
Klasiena BouwmanDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0000-0002-4756-1433
Jelmer R PrinsDepartment of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0002-3984-2163
Sanne J GordijnDepartment of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0003-3915-8609
Mirthe H SchootsDepartment of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0003-2168-2517
Maria C BollingDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0000-0003-2086-9363
Gilles F H DiercksDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands; Department of Pathology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.ORCID 0000-0001-8053-216X
Jeroen BremerDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0000-0002-7550-6386
Barbara HorváthDepartment of Dermatology, University of Groningen, University Medical Center Groningen, UMCG Center of Expertise for Blistering Diseases, European Reference Network for Rare Skin Diseases (ERN SKIN), Groningen, Netherlands.ORCID 0000-0001-8559-3674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of pemphigoid gestationis (PG) mainly consists of systemic and potent topical corticosteroids. This retrospective case series describes patients with severe PG treated with dupilumab, including serological follow-up, and reviews all published cases. PG was confirmed by direct immunofluorescence (linear C3 and/or IgG deposition along the basement membrane zone) and serology (IgG epidermal staining on salt-split skin or anti-BP180 NC16A IgG ELISA). Pruritus, quality of life and anti-BP180 NC16A IgG and anti-BP180 NC16A IgE were monitored longitudinally. In 5 pregnant women, dupilumab was initiated with a 600 mg loading dose followed by 300 mg biweekly. Baseline pruritus was severe (NRS 8-10), with high DLQI scores (18-30). Blistering ceased within 1 week in 2 patients and within 4 weeks in 1. Two patients required weekly dosing for disease control. Systemic corticosteroids were discontinued in 3 patients and tapered to ≤10 mg/day in 2 before delivery. In one case, anti-BP180 IgG paralleled clinical improvement. Anti-BP180 IgE remained negative. All patients delivered healthy infants. In 10 reported cases, pruritus improved rapidly and systemic corticosteroids were tapered. These findings suggest dupilumab may be a promising corticosteroid-sparing option for PG, with rapid clinical response and a favourable safety profile, despite off-label use in pregnancy.

Indexed as

Antibodies, Monoclonal, HumanizedPemphigoid GestationisAdultCollagen Type XVIIFemaleHumansNon-Fibrillar CollagensPregnancyPruritusRetrospective StudiesTime FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedCollagen Type XVIIdupilumabNon-Fibrillar Collagens

Identifiers

PMID42516098
PMCPMC13408254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.