Differences among Indian and European pemphigus patients based on demographics, clinical parameters and propensity for relapse: results of a prospective bicontinental cohort study (notice n° 604878)

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control field 20250121155500.0
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Personal name De, Dipankar
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Title Differences among Indian and European pemphigus patients based on demographics, clinical parameters and propensity for relapse: results of a prospective bicontinental cohort study
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Date of publication, distribution, etc. 2023.<br/>
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General note 53
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Summary, etc. BackgroundLimited studies have explored pemphigus variations among different ethnic groups residing in their respective geographical locations.ObjectivesThis bicontinental study aimed to compare clinical and immunological parameters in Indian and European pemphigus patients in complete remission, off therapy, or on minimal therapy.Materials & Methods105 patients (India, n= 75; Bulgaria, n=15; Greece, n=15) with pemphigus vulgaris (PV) or pemphigus foliaceous (PF) in complete remission on minimal therapy (n=64) or complete remission off therapy (n=41) were recruited. Demographic, clinical, and immunological parameters were compared.ResultsIndian patients were significantly younger, the maximal disease severity during the preceding active disease phase was significantly lower, and treatment duration until complete remission was significantly shorter, compared to European patients. European patients had significantly higher anti-Dsg3 serum levels and higher IgG positivity rate based on direct immunofluorescence microscopy at baseline. Furthermore, European patients revealed higher CD19, CD19+ CD27+ cell counts, compared with patients from India. Of note, none of the European patients (n=30) relapsed within the study period, in contrast to 29/75 (38.6%) Indian patients. Treatment strategies differed significantly between the two cohorts, with more frequent utilization of rituximab to achieve remission in the Indian cohort, while prednisolone was more widely used for maintaining remission in the European cohort.ConclusionThe observed heterogeneity of pemphigus among patients of different ethnicities in terms of demographics, clinical parameters, and propensity for relapse may be due to genetic background or different treatment strategies.
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Topical term or geographic name as entry element relapse
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Topical term or geographic name as entry element ethnicity
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Topical term or geographic name as entry element disease severity
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Topical term or geographic name as entry element pemphigus
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Shilpa, Shilpa
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Kumar, Sheetanshu
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Personal name Drenovska, Kossara
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Mehta, Hitaishi
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Personal name van Beek, Nina
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sachdeva, Naresh
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Personal name Fleva, Alexandra
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Personal name Shahid, Martin
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Personal name Handa, Sanjeev
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Personal name Giannakou, Anastasia
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Personal name Naumova, Elissaveta
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Mahajan, Rahul
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Kyriakou, Aikaterini
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Personal name Lesichkova, Spaska
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lazaridou, Elisabeth
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Dass Radotra, Bishan
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Personal name Kishore, Kamal
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Schmidt, Enno
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Vassileva, Snejina
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Patsatsi, Aikaterini
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786 0# - DATA SOURCE ENTRY
Note European Journal of Dermatology | 33 | 6 | 2023-11-01 | p. 642-647 | 1167-1122
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-european-journal-of-dermatology-2023-6-page-642?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-european-journal-of-dermatology-2023-6-page-642?lang=en&redirect-ssocas=7080</a>

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