Evidence map›Paper›PMID 40084347›Full record

ArticleJAAD international2025

Antidesmoglein 1 and 3 serum IgG and positivity by direct immunofluorescence microscopy is associated with relapse in pemphigus in a prospective bicontinental study.

Dipankar De, Shipla Shilpa, Sheetanshu Kumar, Kossara Drenovska, Hitaishi Mehta, Nina van Beek, Naresh Sachdeva, Alexandra Fleva, Martin Shahid, Sanjeev Handa and 11 more

Abstract read
In one paragraph

Article in JAAD international, 2025. 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. Article
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

21 authors.

Dipankar DeDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Shipla ShilpaDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sheetanshu KumarDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Kossara DrenovskaDepartment of Dermatology and Venereology, Faculty of Medicine, Medical University - Sofia, Bulgaria.
Hitaishi MehtaDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Nina van BeekDepartment of Dermatology, University of Lübeck, Lübeck, Germany.
Naresh SachdevaDepartment of Endocrinology (Immunology Division), Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Alexandra FlevaDepartment of Immunology-Histocompatibility, Papageorgiou General Hospital, Thessaloniki, Greece.
Martin ShahidDepartment of Dermatology and Venereology, Faculty of Medicine, Medical University - Sofia, Bulgaria.
Sanjeev HandaDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Anastasia GiannakouDepartment of Immunology-Histocompatibility, Papageorgiou General Hospital, Thessaloniki, Greece.
Elissaveta NaumovaDepartment of Clinical Immunology, Faculty of Medicine, Medical University - Sofia, Sofia, Bulgaria.
Rahul MahajanDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Aikaterini KyriakouDermatology Department, Aristotle University School of Medicine, Papageorgiou General Hospital, Thessaloniki, Greece.
Spaska LesichkovaDepartment of Clinical Immunology, Faculty of Medicine, Medical University - Sofia, Sofia, Bulgaria.
Elisabeth LazaridouDermatology Department, Aristotle University School of Medicine, Papageorgiou General Hospital, Thessaloniki, Greece.
Bishan Dass RadotraDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Kamal KishoreDepartment of Biostatistics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Snejina VassilevaDepartment of Dermatology and Venereology, Faculty of Medicine, Medical University - Sofia, Bulgaria.
Aikaterini PatsatsiDepartment of Clinical Immunology, Faculty of Medicine, Medical University - Sofia, Sofia, Bulgaria.
Enno SchmidtDepartment of Dermatology, University of Lübeck, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prospective studies identifying immunological parameters that can predict clinical relapse in pemphigus are scarce. Objective: To periodically assess immunological parameters in patients with pemphigus vulgaris and foliaceous in remission to understand immunological events preceding clinical relapse. Methods: A total of 105 patients were included. Baseline assessment included direct immunofluorescence (DIF), serum IgG against desmoglein (Dsg) 1, IgG, IgG1, and IgG4 against Dsg 3, IgG against the extracellular domains 1 and 2 of Dsg 3, IgG against muscarinic (M3)-AchR, and peripheral CD19+CD27+ memory B cells/plasma cells, repeated every 3 months for up to 12 months or until clinical relapse. DIF was repeated at month 12 and on relapse. Results: About 29 of 105 patients (28%) experienced a relapse. Longer duration of clinical remission, presence of pruritus and positive anti-Dsg1 at baseline correlated with higher relapse rates. Compared with the visit immediately preceding relapse, a significantly increased number of patients with positive anti-Dsg1 (38% vs 31.1%, Conclusion: Regular monitoring of anti-Dsg 1 and anti-Dsg 3 serum levels and DIF positivity during the course of the disease in remission may predict relapse.

Indexed as

Autoantibodydesmogleinpemphigusprediction of relapseremission

Identifiers

PMID40084347
PMCPMC11904554

What Socratic 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 Socratic graph.