Skip to main content
Erschienen in: Archives of Dermatological Research 4/2015

01.05.2015 | Review

Geographic variations in epidemiology of two autoimmune bullous diseases: pemphigus and bullous pemphigoid

verfasst von: Erkan Alpsoy, Ayse Akman-Karakas, Soner Uzun

Erschienen in: Archives of Dermatological Research | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

Autoimmune bullous diseases are rare, organ-specific, a group of blistering disease of skin and mucous membranes. Recent studies suggest that the frequency of the autoimmune bullous diseases has been increasing. Pemphigus vulgaris and bullous pemphigoid are the most frequently reported autoimmune bullous diseases. High incidence of autoimmune bullous diseases in some ethnic groups such as pemphigus in Ashkenazi Jewish, or in some regions such as pemphigus foliaceus in Brazil has been shown to be related to genetic and environmental factors, respectively. Pemphigus has been reported more frequently in the female gender. Although it is most frequently diagnosed between the ages 50 and 60 in European countries, in the remaining countries in the world, it is seen between the ages of 30 and 50. Bullous pemphigoid is generally seen above 70 years of age. Although overall incidence is slightly higher in females, after the age of 80 years it is more frequent in males. Both pemphigus vulgaris and bullous pemphigoid has a chronic course with recurrences. Mortality risk of the patients with bullous pemphigoid was found at least 2 times higher and the mortality risk of the patients with pemphigus was found approximately 3 times higher than that of the general population. In this review, the results obtained from the epidemiological studies were analyzed according to geographic regions, and especially epidemiologic features of two prevalent autoimmune bullous diseases, pemphigus and bullous pemphigoid have been discussed.
Literatur
1.
Zurück zum Zitat Aboobaker J, Morar N, Ramdial PK, Hammond MG (2001) Pemphigus in South Africa. Int J Dermatol 40:115–119CrossRefPubMed Aboobaker J, Morar N, Ramdial PK, Hammond MG (2001) Pemphigus in South Africa. Int J Dermatol 40:115–119CrossRefPubMed
2.
Zurück zum Zitat Adam BA (1992) Bullous diseases in Malaysia: epidemiology and natural history. Int J Dermatol 31:42–45CrossRefPubMed Adam BA (1992) Bullous diseases in Malaysia: epidemiology and natural history. Int J Dermatol 31:42–45CrossRefPubMed
3.
Zurück zum Zitat Ahmed AR, Wagner R, Khatri K et al (1991) Major histocompatibility complex haplotypes and class II genes in non-Jewish patients with pemphigus vulgaris. Proc Natl Acad Sci USA 88:5056–5060CrossRefPubMedCentralPubMed Ahmed AR, Wagner R, Khatri K et al (1991) Major histocompatibility complex haplotypes and class II genes in non-Jewish patients with pemphigus vulgaris. Proc Natl Acad Sci USA 88:5056–5060CrossRefPubMedCentralPubMed
4.
Zurück zum Zitat Ahmed AR, Yunis EJ, Khatri K et al (1990) Major histocompatibility complex haplotype studies in Ashkenazi Jewish patients with pemphigus vulgaris. Proc Natl Acad Sci USA 87:7658–7662CrossRefPubMedCentralPubMed Ahmed AR, Yunis EJ, Khatri K et al (1990) Major histocompatibility complex haplotype studies in Ashkenazi Jewish patients with pemphigus vulgaris. Proc Natl Acad Sci USA 87:7658–7662CrossRefPubMedCentralPubMed
5.
Zurück zum Zitat Akman A, Kacaroglu H, Yilmaz E et al (2008) Periodontal status in patients with pemphigus vulgaris. Oral Dis 14:640–643CrossRefPubMed Akman A, Kacaroglu H, Yilmaz E et al (2008) Periodontal status in patients with pemphigus vulgaris. Oral Dis 14:640–643CrossRefPubMed
6.
Zurück zum Zitat Amin MN, Islam AZ (2006) Clinical, histologic and immunologic features of pemphigus in Bangladesh. Int J Dermatol 45:1317–1318CrossRefPubMed Amin MN, Islam AZ (2006) Clinical, histologic and immunologic features of pemphigus in Bangladesh. Int J Dermatol 45:1317–1318CrossRefPubMed
7.
Zurück zum Zitat Baican A, Baican C, Chiriac G et al (2010) Pemphigus vulgaris is the most common autoimmune bullous disease in Northwestern Romania. Int J Dermatol 49:768–774PubMed Baican A, Baican C, Chiriac G et al (2010) Pemphigus vulgaris is the most common autoimmune bullous disease in Northwestern Romania. Int J Dermatol 49:768–774PubMed
8.
Zurück zum Zitat Bastuji-Garin S, Joly P, Lemordant P et al (2011) Risk factors for bullous pemphigoid in the elderly: a prospective case-control study. J Invest Dermatol 131:637–643CrossRefPubMed Bastuji-Garin S, Joly P, Lemordant P et al (2011) Risk factors for bullous pemphigoid in the elderly: a prospective case-control study. J Invest Dermatol 131:637–643CrossRefPubMed
9.
Zurück zum Zitat Bastuji-Garin S, Joly P, Picard-Dahan C et al (1996) Drugs associated with bullous pemphigoid. a case-control study. Arch Dermatol 132:272–276CrossRefPubMed Bastuji-Garin S, Joly P, Picard-Dahan C et al (1996) Drugs associated with bullous pemphigoid. a case-control study. Arch Dermatol 132:272–276CrossRefPubMed
10.
Zurück zum Zitat Bastuji-Garin S, Souissi R, Blum L et al (1995) Comparative epidemiology of pemphigus in Tunisia and France: unusual incidence of pemphigus foliaceus in young Tunisian women. J Invest Dermatol 104:302–305CrossRefPubMed Bastuji-Garin S, Souissi R, Blum L et al (1995) Comparative epidemiology of pemphigus in Tunisia and France: unusual incidence of pemphigus foliaceus in young Tunisian women. J Invest Dermatol 104:302–305CrossRefPubMed
11.
Zurück zum Zitat Benchikhi H, Ghafour S, Disky A et al (2008) Pemphigus: analysis of 262 cases. Int J Dermatol 47:973–975CrossRefPubMed Benchikhi H, Ghafour S, Disky A et al (2008) Pemphigus: analysis of 262 cases. Int J Dermatol 47:973–975CrossRefPubMed
12.
Zurück zum Zitat Bernard P, Vaillant L, Labeille B et al (1995) Incidence and distribution of subepidermal autoimmune bullous skin diseases in three French regions. Bullous Diseases French Study Group. Arch Dermatol 131:48–52CrossRefPubMed Bernard P, Vaillant L, Labeille B et al (1995) Incidence and distribution of subepidermal autoimmune bullous skin diseases in three French regions. Bullous Diseases French Study Group. Arch Dermatol 131:48–52CrossRefPubMed
13.
Zurück zum Zitat Bertram F, Bröcker EB, Zillikens D et al (2009) Prospective analysis of the incidence of autoimmune bullous disorders in Lower Franconia, Germany. J Dtsch Dermatol Ges 7:434–440PubMed Bertram F, Bröcker EB, Zillikens D et al (2009) Prospective analysis of the incidence of autoimmune bullous disorders in Lower Franconia, Germany. J Dtsch Dermatol Ges 7:434–440PubMed
14.
Zurück zum Zitat Bourdon-Lanoy E, Roujeau JC, Joly P et al (2005) Bullous pemphigoid in young patients: a retrospective study of 74 cases. Ann Dermatol Venereol 132:115–122CrossRefPubMed Bourdon-Lanoy E, Roujeau JC, Joly P et al (2005) Bullous pemphigoid in young patients: a retrospective study of 74 cases. Ann Dermatol Venereol 132:115–122CrossRefPubMed
15.
Zurück zum Zitat Brenner S, Tur E, Shapiro J (2001) Pemphigus vulgaris: environmental factors. Occupational, behavioral, medical, and qualitative food frequency questionnaire. Int J Dermatol 40:562–569CrossRefPubMed Brenner S, Tur E, Shapiro J (2001) Pemphigus vulgaris: environmental factors. Occupational, behavioral, medical, and qualitative food frequency questionnaire. Int J Dermatol 40:562–569CrossRefPubMed
16.
Zurück zum Zitat Chams-Davatchi C, Valikhani M, Daneshpazhooh M et al (2005) Pemphigus: analysis of 1209 cases. Int J Dermatol 44:470–476CrossRefPubMed Chams-Davatchi C, Valikhani M, Daneshpazhooh M et al (2005) Pemphigus: analysis of 1209 cases. Int J Dermatol 44:470–476CrossRefPubMed
17.
Zurück zum Zitat Colbert RL, Allen DM, Eastwood D et al (2004) Mortality rate of bullous pemphigoid in a US medical center. J Invest Dermatol 122:1091–1095CrossRefPubMed Colbert RL, Allen DM, Eastwood D et al (2004) Mortality rate of bullous pemphigoid in a US medical center. J Invest Dermatol 122:1091–1095CrossRefPubMed
18.
Zurück zum Zitat Cozzani E, Parodi A, Rebora A et al (2001) Gruppo Ligure di Studi in Dermatologia (GLISID). Bullous pemphigoid in Liguria: a 2-year survey. J Eur Acad Dermatol Venereol 15:317–319PubMed Cozzani E, Parodi A, Rebora A et al (2001) Gruppo Ligure di Studi in Dermatologia (GLISID). Bullous pemphigoid in Liguria: a 2-year survey. J Eur Acad Dermatol Venereol 15:317–319PubMed
19.
Zurück zum Zitat Culton DA, Qian Y, Li N et al (2008) Advances in pemphigus and its endemic pemphigus foliaceus (Fogo Selvagem) phenotype: a paradigm of human autoimmunity. J Autoimmun 31:311–324CrossRefPubMedCentralPubMed Culton DA, Qian Y, Li N et al (2008) Advances in pemphigus and its endemic pemphigus foliaceus (Fogo Selvagem) phenotype: a paradigm of human autoimmunity. J Autoimmun 31:311–324CrossRefPubMedCentralPubMed
20.
Zurück zum Zitat Daneshpazhooh M, Chams-Davatchi C, Payandemehr P et al (2012) Spectrum of autoimmune bullous diseases in Iran: a 10-year review. Int J Dermatol 51:35–41CrossRefPubMed Daneshpazhooh M, Chams-Davatchi C, Payandemehr P et al (2012) Spectrum of autoimmune bullous diseases in Iran: a 10-year review. Int J Dermatol 51:35–41CrossRefPubMed
21.
Zurück zum Zitat Delgado JC, Hameed A, Yunis JJ et al (1997) Pemphigus vulgaris autoantibody response is linked to HLA-DQB1*0503 in Pakistani patients. Hum Immunol 57:110–119CrossRefPubMed Delgado JC, Hameed A, Yunis JJ et al (1997) Pemphigus vulgaris autoantibody response is linked to HLA-DQB1*0503 in Pakistani patients. Hum Immunol 57:110–119CrossRefPubMed
22.
Zurück zum Zitat Delgado JC, Turbay D, Yunis EJ et al (1996) A common major histocompatibility complex class II allele HLA-DQB1* 0301 is present in clinical variants of pemphigoid. Proc Natl Acad Sci USA 6(93):8569–8571CrossRef Delgado JC, Turbay D, Yunis EJ et al (1996) A common major histocompatibility complex class II allele HLA-DQB1* 0301 is present in clinical variants of pemphigoid. Proc Natl Acad Sci USA 6(93):8569–8571CrossRef
23.
Zurück zum Zitat Delgado JC, Yunis DE, Bozon MV et al (1996) MHC class II alleles and haplotypes in patients with pemphigus vulgaris from India. Tissue Antigens 48:668–672CrossRefPubMed Delgado JC, Yunis DE, Bozon MV et al (1996) MHC class II alleles and haplotypes in patients with pemphigus vulgaris from India. Tissue Antigens 48:668–672CrossRefPubMed
24.
Zurück zum Zitat Diaz LA, Glamb RW, Silva J Jr (1980) A syndrome of multiple immune autoreactivity. A breakdown in immune regulation. Arch Dermatol 116:77–79CrossRefPubMed Diaz LA, Glamb RW, Silva J Jr (1980) A syndrome of multiple immune autoreactivity. A breakdown in immune regulation. Arch Dermatol 116:77–79CrossRefPubMed
25.
Zurück zum Zitat Firooz A, Mazhar A, Ahmed AR (1994) Prevalence of autoimmune diseases in the family members of patients with pemphigus vulgaris. J Am Acad Dermatol 31(3 Pt 1):434–437CrossRefPubMed Firooz A, Mazhar A, Ahmed AR (1994) Prevalence of autoimmune diseases in the family members of patients with pemphigus vulgaris. J Am Acad Dermatol 31(3 Pt 1):434–437CrossRefPubMed
26.
Zurück zum Zitat Golusin Z, Poljacki M, Jovanovic M et al (2005) Some epidemiological features of pemphigus chronicus in South Vojvodina: a 12-year retrospective study. Int J Dermatol 44:792–793CrossRefPubMed Golusin Z, Poljacki M, Jovanovic M et al (2005) Some epidemiological features of pemphigus chronicus in South Vojvodina: a 12-year retrospective study. Int J Dermatol 44:792–793CrossRefPubMed
27.
Zurück zum Zitat Gudi VS, White MI, Cruickshank N et al (2005) Annual incidence and mortality of bullous pemphigoid in the Grampian Region of North-east Scotland. Br J Dermatol 153:424–427CrossRefPubMed Gudi VS, White MI, Cruickshank N et al (2005) Annual incidence and mortality of bullous pemphigoid in the Grampian Region of North-east Scotland. Br J Dermatol 153:424–427CrossRefPubMed
28.
Zurück zum Zitat Hahn-Ristic K, Rzany B, Amagai M et al (2002) Increased incidence of pemphigus vulgaris in southern Europeans living in Germany compared with native Germans. J Eur Acad Dermatol Venereol 16:68–71CrossRefPubMed Hahn-Ristic K, Rzany B, Amagai M et al (2002) Increased incidence of pemphigus vulgaris in southern Europeans living in Germany compared with native Germans. J Eur Acad Dermatol Venereol 16:68–71CrossRefPubMed
29.
Zurück zum Zitat Hietanen J, Salo OP (1982) Pemphigus: an epidemiological study of patients treated in Finnish hospitals between 969 and 1978. Acta Derm Venereol 62:491–496PubMed Hietanen J, Salo OP (1982) Pemphigus: an epidemiological study of patients treated in Finnish hospitals between 969 and 1978. Acta Derm Venereol 62:491–496PubMed
30.
Zurück zum Zitat Huang YH, Kuo CF, Chen YH et al (2012) Incidence, mortality, and causes of death of patients with pemphigus in Taiwan: a Nationwide Population-Based Study. J Invest Dermatol 132:92–97CrossRefPubMed Huang YH, Kuo CF, Chen YH et al (2012) Incidence, mortality, and causes of death of patients with pemphigus in Taiwan: a Nationwide Population-Based Study. J Invest Dermatol 132:92–97CrossRefPubMed
31.
Zurück zum Zitat Huh WK, Tada J, Fujimoto W et al (2001) Thyroid gland tumour, pemphigus foliaceus and myasthenia gravis in the daughter of a woman with myasthenia gravis. Clin Exp Dermatol 26:504–506CrossRefPubMed Huh WK, Tada J, Fujimoto W et al (2001) Thyroid gland tumour, pemphigus foliaceus and myasthenia gravis in the daughter of a woman with myasthenia gravis. Clin Exp Dermatol 26:504–506CrossRefPubMed
32.
33.
Zurück zum Zitat Joly P, Baricault S, Sparsa A et al (2012) Incidence and mortality of bullous pemphigoid in France. J Invest Dermatol 132:1998–2004CrossRefPubMed Joly P, Baricault S, Sparsa A et al (2012) Incidence and mortality of bullous pemphigoid in France. J Invest Dermatol 132:1998–2004CrossRefPubMed
34.
Zurück zum Zitat Jung M, Kippes W, Messer G et al (1999) Increased risk of bullous pemphigoid in male and very old patients: a population-based study on incidence. J Am Acad Dermatol 41:266–268CrossRefPubMed Jung M, Kippes W, Messer G et al (1999) Increased risk of bullous pemphigoid in male and very old patients: a population-based study on incidence. J Am Acad Dermatol 41:266–268CrossRefPubMed
35.
Zurück zum Zitat Kaya Koc C, Sallakci N, Akman-Karakaş A et al (2013) HLA class I and class II antigens in the patients with pemphigus in Southern Turkey. Int J Dermatol 52:53–58CrossRef Kaya Koc C, Sallakci N, Akman-Karakaş A et al (2013) HLA class I and class II antigens in the patients with pemphigus in Southern Turkey. Int J Dermatol 52:53–58CrossRef
36.
Zurück zum Zitat Krain LS, Terasaki PI, Newcomer VD et al (1973) Increased frequency of HLA-A10 in pemphigus vulgaris. Arch Dermatol 108:803–805CrossRefPubMed Krain LS, Terasaki PI, Newcomer VD et al (1973) Increased frequency of HLA-A10 in pemphigus vulgaris. Arch Dermatol 108:803–805CrossRefPubMed
37.
Zurück zum Zitat Kumar KA (2008) Incidence of pemphigus in Thrissur district, south India. Indian J Dermatol Venereol Leprol 74:349–351CrossRefPubMed Kumar KA (2008) Incidence of pemphigus in Thrissur district, south India. Indian J Dermatol Venereol Leprol 74:349–351CrossRefPubMed
38.
Zurück zum Zitat Langan SM, Smeeth L, Hubbard R et al (2008) Bullous pemphigoid and pemphigus vulgaris–incidence and mortality in the UK: population based cohort study. BMJ 337:a180CrossRefPubMedCentralPubMed Langan SM, Smeeth L, Hubbard R et al (2008) Bullous pemphigoid and pemphigus vulgaris–incidence and mortality in the UK: population based cohort study. BMJ 337:a180CrossRefPubMedCentralPubMed
39.
Zurück zum Zitat Lee JJ, Downham TF (2006) Furosemide-induced bullous pemphigoid. Case report and review of literature. J Drugs Dermatol 5:562–564PubMed Lee JJ, Downham TF (2006) Furosemide-induced bullous pemphigoid. Case report and review of literature. J Drugs Dermatol 5:562–564PubMed
40.
Zurück zum Zitat Leshem YA, Katzenelson V, Yosipovitch G, David M, Mimouni D (2011) Autoimmune diseases in patients with pemphigus and their first-degree relatives. Int J Dermatol 50:827–831CrossRefPubMed Leshem YA, Katzenelson V, Yosipovitch G, David M, Mimouni D (2011) Autoimmune diseases in patients with pemphigus and their first-degree relatives. Int J Dermatol 50:827–831CrossRefPubMed
41.
42.
Zurück zum Zitat Lo Schiavo A, Ruocco E, Brancaccio G et al (2013) Bullous pemphigoid: etiology, pathogenesis, and inducing factors: Facts and controversies. Clin Dermatol 31:391–399CrossRefPubMed Lo Schiavo A, Ruocco E, Brancaccio G et al (2013) Bullous pemphigoid: etiology, pathogenesis, and inducing factors: Facts and controversies. Clin Dermatol 31:391–399CrossRefPubMed
43.
Zurück zum Zitat Mahé A, Flageul B, Cissé I et al (1996) Pemphigus in Mali: a study of 30 cases. Br J Dermatol 134:114–119CrossRefPubMed Mahé A, Flageul B, Cissé I et al (1996) Pemphigus in Mali: a study of 30 cases. Br J Dermatol 134:114–119CrossRefPubMed
44.
Zurück zum Zitat Marazza G, Pham HC, Schärer L et al (2009) Incidence of bullous pemphigoid and pemphigus in Switzerland: a 2-year prospective study. Br J Dermatol 161:861–868CrossRefPubMed Marazza G, Pham HC, Schärer L et al (2009) Incidence of bullous pemphigoid and pemphigus in Switzerland: a 2-year prospective study. Br J Dermatol 161:861–868CrossRefPubMed
45.
Zurück zum Zitat Meyer N, Misery L (2010) Geoepidemiologic considerations of auto-immune pemphigus. Autoimmun Rev 9:A379–A382CrossRefPubMed Meyer N, Misery L (2010) Geoepidemiologic considerations of auto-immune pemphigus. Autoimmun Rev 9:A379–A382CrossRefPubMed
46.
Zurück zum Zitat Micali G, Musumeci ML, Nasca MR (1998) Epidemiologic analysis and clinical course of 84 consecutive cases of pemphigus in eastern Sicily. Int J Dermatol 37:197–200CrossRefPubMed Micali G, Musumeci ML, Nasca MR (1998) Epidemiologic analysis and clinical course of 84 consecutive cases of pemphigus in eastern Sicily. Int J Dermatol 37:197–200CrossRefPubMed
47.
Zurück zum Zitat Michailidou EZ, Belazi MA, Markopoulos AK et al (2007) Epidemiologic survey of pemphigus vulgaris with oral manifestations in northern Greece: retrospective study of 129 patients. Int J Dermatol 46:356–361CrossRefPubMed Michailidou EZ, Belazi MA, Markopoulos AK et al (2007) Epidemiologic survey of pemphigus vulgaris with oral manifestations in northern Greece: retrospective study of 129 patients. Int J Dermatol 46:356–361CrossRefPubMed
48.
Zurück zum Zitat Mimouni D, Bar H, Gdalevich M et al (2008) Pemphigus-analysis of epidemiological factors in 155 patients. J Eur Acad Dermatol Venereol 22:1232–1235CrossRefPubMed Mimouni D, Bar H, Gdalevich M et al (2008) Pemphigus-analysis of epidemiological factors in 155 patients. J Eur Acad Dermatol Venereol 22:1232–1235CrossRefPubMed
49.
Zurück zum Zitat Nanda A, Dvorak R, Al-Saeed K et al (2004) Spectrum of autoimmune bullous diseases in Kuwait. Int J Dermatol 43:876–881CrossRefPubMed Nanda A, Dvorak R, Al-Saeed K et al (2004) Spectrum of autoimmune bullous diseases in Kuwait. Int J Dermatol 43:876–881CrossRefPubMed
50.
Zurück zum Zitat Okazaki A, Miyagawa S, Yamashina Y, Kitamura W, Shirai T (2000) Polymorphisms of HLA-DR and -DQ genes in Japanese patients with bullous pemphigoid. J Dermatol 27:149–156CrossRefPubMed Okazaki A, Miyagawa S, Yamashina Y, Kitamura W, Shirai T (2000) Polymorphisms of HLA-DR and -DQ genes in Japanese patients with bullous pemphigoid. J Dermatol 27:149–156CrossRefPubMed
51.
Zurück zum Zitat Ong E, Goldacre R, Hoang U et al (2014) Associations between bullous pemphigoid and primary malignant cancers: an English national record linkage study, 1999–2011. Arch Dermatol Res 306:75–80CrossRefPubMed Ong E, Goldacre R, Hoang U et al (2014) Associations between bullous pemphigoid and primary malignant cancers: an English national record linkage study, 1999–2011. Arch Dermatol Res 306:75–80CrossRefPubMed
52.
Zurück zum Zitat Park MS, Terasaki PI, Ahmed AR et al (1979) HLA-DRW4 in 91% of pemphigus vulgaris patients. Lancet 2:441–442CrossRefPubMed Park MS, Terasaki PI, Ahmed AR et al (1979) HLA-DRW4 in 91% of pemphigus vulgaris patients. Lancet 2:441–442CrossRefPubMed
53.
Zurück zum Zitat Pisanti S, Sharav Y, Kaufman E et al (1974) Pemphigus vulgaris: incidence in Jews of different ethnic groups, according to age, sex, and initial lesion. Oral Surg Oral Med Oral Pathol 38:382–387CrossRefPubMed Pisanti S, Sharav Y, Kaufman E et al (1974) Pemphigus vulgaris: incidence in Jews of different ethnic groups, according to age, sex, and initial lesion. Oral Surg Oral Med Oral Pathol 38:382–387CrossRefPubMed
54.
Zurück zum Zitat Roujeau JC, Lok C, Bastuji-Garin S et al (1998) High risk of death in elderly patients with extensive bullous pemphigoid. Arch Dermatol 134:465–469CrossRefPubMed Roujeau JC, Lok C, Bastuji-Garin S et al (1998) High risk of death in elderly patients with extensive bullous pemphigoid. Arch Dermatol 134:465–469CrossRefPubMed
55.
Zurück zum Zitat Ruocco V, Ruocco E, Lo Schiavo A et al (2013) Pemphigus: etiology, pathogenesis, and inducing or triggering factors: facts and controversies. Clin Dermatol 31:374–381CrossRefPubMed Ruocco V, Ruocco E, Lo Schiavo A et al (2013) Pemphigus: etiology, pathogenesis, and inducing or triggering factors: facts and controversies. Clin Dermatol 31:374–381CrossRefPubMed
56.
Zurück zum Zitat Salmanpour R, Shahkar H, Namazi MR et al (2006) Epidemiology of pemphigus in south-western Iran: a 10-year retrospective study (1991–2000). Int J Dermatol 45:103–105CrossRefPubMed Salmanpour R, Shahkar H, Namazi MR et al (2006) Epidemiology of pemphigus in south-western Iran: a 10-year retrospective study (1991–2000). Int J Dermatol 45:103–105CrossRefPubMed
57.
Zurück zum Zitat Serwin AB, Bokiniec E, Piascik M et al (2007) Epidemiological and clinical analysis of pemphigoid patients in northeastern Poland in 2000-2005. Med Sci Monit 13:360–364 Serwin AB, Bokiniec E, Piascik M et al (2007) Epidemiological and clinical analysis of pemphigoid patients in northeastern Poland in 2000-2005. Med Sci Monit 13:360–364
58.
Zurück zum Zitat Simon DG, Krutchkoff D, Kaslow RA et al (1980) Pemphigus in Hartford County, Connecticut, from 1972 to 1977. Arch Dermatol 116:1035–1037CrossRefPubMed Simon DG, Krutchkoff D, Kaslow RA et al (1980) Pemphigus in Hartford County, Connecticut, from 1972 to 1977. Arch Dermatol 116:1035–1037CrossRefPubMed
59.
60.
Zurück zum Zitat Tallab T, Joharji H, Bahamdan K et al (2001) The incidence of pemphigus in the southern region of Saudi Arabia. Int J Dermatol 40:570–572CrossRefPubMed Tallab T, Joharji H, Bahamdan K et al (2001) The incidence of pemphigus in the southern region of Saudi Arabia. Int J Dermatol 40:570–572CrossRefPubMed
61.
Zurück zum Zitat Tsankov N, Vassileva S, Kamarashev J et al (2000) Epidemiology of pemphigus in Sofia, Bulgaria. A 16-year retrospective study (1980–1995). Int J Dermatol 39:104–108CrossRefPubMed Tsankov N, Vassileva S, Kamarashev J et al (2000) Epidemiology of pemphigus in Sofia, Bulgaria. A 16-year retrospective study (1980–1995). Int J Dermatol 39:104–108CrossRefPubMed
62.
Zurück zum Zitat Uzun S, Durdu M, Akman A et al (2006) Pemphigus in the mediterranean region of Turkey: a study of 148 cases. Int J Dermatol 45:523–528CrossRefPubMed Uzun S, Durdu M, Akman A et al (2006) Pemphigus in the mediterranean region of Turkey: a study of 148 cases. Int J Dermatol 45:523–528CrossRefPubMed
63.
Zurück zum Zitat Vega-Memije ME, Saez de Ocariz-Gutierrez MM, Corte-Franco R et al (2001) Analysis of HLA-DR in Mexican patients with pemphigus. Gac Med Mex 137:535–540PubMed Vega-Memije ME, Saez de Ocariz-Gutierrez MM, Corte-Franco R et al (2001) Analysis of HLA-DR in Mexican patients with pemphigus. Gac Med Mex 137:535–540PubMed
64.
65.
Zurück zum Zitat V’lckova-Laskoska MT, Laskoski DS, Kamberova S et al (2007) Epidemiology of pemphigus in Macedonia: a 15-year retrospective study (1990–2004). Int J Dermatol 46:253–258CrossRefPubMed V’lckova-Laskoska MT, Laskoski DS, Kamberova S et al (2007) Epidemiology of pemphigus in Macedonia: a 15-year retrospective study (1990–2004). Int J Dermatol 46:253–258CrossRefPubMed
66.
Zurück zum Zitat Waisbourd-Zinman O, Ben-Amitai D, Cohen AD et al (2008) Bullous pemphigoid in infancy: clinical and epidemiologic characteristics. J Am Acad Dermatol 58:41–48CrossRefPubMed Waisbourd-Zinman O, Ben-Amitai D, Cohen AD et al (2008) Bullous pemphigoid in infancy: clinical and epidemiologic characteristics. J Am Acad Dermatol 58:41–48CrossRefPubMed
67.
Zurück zum Zitat Wong SN, Chua SH (2002) Spectrum of subepidermal immunobullous disorders seen at the National Skin Centre, Singapore: a 2-year review. Br J Dermatol 147:476–480CrossRefPubMed Wong SN, Chua SH (2002) Spectrum of subepidermal immunobullous disorders seen at the National Skin Centre, Singapore: a 2-year review. Br J Dermatol 147:476–480CrossRefPubMed
68.
Zurück zum Zitat Zakka LR, Reche P, Ahmed AR (2011) Role of MHC Class II genes in the pathogenesis of pemphigoid. Autoimmun Rev 11:40–47CrossRefPubMed Zakka LR, Reche P, Ahmed AR (2011) Role of MHC Class II genes in the pathogenesis of pemphigoid. Autoimmun Rev 11:40–47CrossRefPubMed
69.
Zurück zum Zitat Zaraa I, Kerkeni N, Ishak F et al (2011) Spectrum of autoimmune blistering dermatoses in Tunisia: an 11-year study and a review of the literature. Int J Dermatol 50:939–944CrossRefPubMed Zaraa I, Kerkeni N, Ishak F et al (2011) Spectrum of autoimmune blistering dermatoses in Tunisia: an 11-year study and a review of the literature. Int J Dermatol 50:939–944CrossRefPubMed
70.
Zurück zum Zitat Zillikens D, Wever S, Roth A et al (1995) Incidence of autoimmune subepidermal blistering dermatoses in a region in central Germany. Arch Dermatol 131:957–958CrossRefPubMed Zillikens D, Wever S, Roth A et al (1995) Incidence of autoimmune subepidermal blistering dermatoses in a region in central Germany. Arch Dermatol 131:957–958CrossRefPubMed
Metadaten
Titel
Geographic variations in epidemiology of two autoimmune bullous diseases: pemphigus and bullous pemphigoid
verfasst von
Erkan Alpsoy
Ayse Akman-Karakas
Soner Uzun
Publikationsdatum
01.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Dermatological Research / Ausgabe 4/2015
Print ISSN: 0340-3696
Elektronische ISSN: 1432-069X
DOI
https://doi.org/10.1007/s00403-014-1531-1

Weitere Artikel der Ausgabe 4/2015

Archives of Dermatological Research 4/2015 Zur Ausgabe

Leitlinien kompakt für die Dermatologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Riesenzellarteriitis: 15% der Patienten sind von okkulter Form betroffen

16.05.2024 Riesenzellarteriitis Nachrichten

In einer retrospektiven Untersuchung haben Forschende aus Belgien und den Niederlanden die okkulte Form der Riesenzellarteriitis genauer unter die Lupe genommen. In puncto Therapie und Rezidivraten stellten sie keinen sehr großen Unterschied zu Erkrankten mit kranialen Symptomen fest.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Isotretinoin: Risiko für schwere Laboranomalien „marginal erhöht“

08.05.2024 Akne Nachrichten

Die Aknetherapie mit Isotretinoin kann einen Anstieg von Leberenzymen und Blutfetten verursachen. Das Risiko für schwere Störungen ist laut einer Forschungsgruppe der Universität Lübeck aber nur marginal erhöht und auf einen engen Zeitraum konzentriert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Dermatologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.