Evidence map›Paper›PMID 36112095›Full record

ArticlePigment cell & melanoma research2023

Varicella-zoster virus in actively spreading segmental vitiligo skin: Pathological, immunochemical, and ultrastructural findings (a first and preliminary study).

Yvon Gauthier, Sebastien Lepreux, Muriel Cario-Andre, Jérome Rambert, Adrien Dakdaki, Marie-Edith Lafon, Redouane Abouqal, Laila Benzekri

Open access · hybridAbstract read
In one paragraph

Article in Pigment cell & melanoma research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Exposome Risk Factors for Vitiligo: A Systematic Evidence Review.American journal of clinical dermatology · 2026
    Pooled it
  2. Vitiligo.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
  3. [Vitiligo-update on pathogenesis, diagnostics and therapy].Dermatologie (Heidelberg, Germany) · 2025
    Review
  4. Vitiligo: are microbes to blame?Bioscience of microbiota, food and health · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 4 countries.

Yvon GauthierVitiligo and Melasma Research Association (V.M.R.A.), Bordeaux, France.ORCID 0000-0002-2810-8094
Sebastien LepreuxPathology Department, Hopital Robert Boulin, CHR, Libourne, France.
Muriel Cario-AndreBordeaux University, INSERM, BRIC, U1312, Bordeaux, France.ORCID 0000-0003-0462-5684
Jérome RambertNational Reference Center for Rare skin Diseases, Bordeaux University Hospital, Bordeaux, France.
Adrien DakdakiTumor Bank and Tumor Biology Laboratory, CHU Bordeaux, Pessac, France.
Marie-Edith LafonDepartment of Virology Bordeaux University Hospital, Bordeaux University, CNRS, UMR5234, Bordeaux, France.
Redouane AbouqalLaboratory of Biostatistics, Clinical Research and Epidemiology, Mohammed V University in Rabat, Acute Medical Unit, Ibn Sina Teaching Hospital, Rabat, Morocco.
Laila BenzekriDermatology Department, Ibn Sina Teaching Hospital, Mohammed V University in Rabat, Pigmentary Disorders Outpatient Clinic, Rabat, Morocco.ORCID 0000-0003-1885-6563
Mohammed V University · MAADIR Association · FRCentre National de la Recherche Scientifique · FRHôpital Robert-Debré · FRHôpital Saint-André · FRInserm · FRTumaini University · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Segmental vitiligo (SV) is a unilateral subtype of vitiligo which is clinically characterized by a cutaneous depigmentation and histologically by a melanocyte loss from the epidermis and hair follicle reservoirs. To date, its pathogenesis remains a mystery. In many cases, this skin depigmentation shares several clinical features and dysfunctions with herpes zoster (HZ). So, for the first time, we examined whether any nucleus and cell fusion associated with a positive immunolabelling of varicella-zoster virus (VZV) and VZV mature virions could be found in SV skin samples as in herpes zoster (HZ). A total of 40 SV samples were used for histological and immunochemical studies. Control samples were obtained from three HZ, and 10 generalized vitiligo lesions. For ultrastructural study, three recent SV and one HZ as controls were recruited. Here, we report that nuclear fusion in epidermal cells were statistically associated with recent SV (p < .001), whereas syncytia formation was associated with long-lasting SV (p = .001). A positive detection of VZV antigen was statistically associated in the epidermis with recent SV and in the dermis with long-lasting SV (p = .001). Finally, the discovery of mature virions in 3/3 recent SV samples provides additional arguments for our viral hypothesis.

Indexed as

Herpes ZosterVitiligoHerpesvirus 3, HumanHumansMelanocytesSkinautonomic nervous systemmelanosome transportnucleus fusionsegmental vitiligosyncytiumultrastructural studyvaricella-zoster virusviral cytopathic changes

Identifiers

PMID36112095
PMCPMC10092484
OpenAlexW4296035428

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.