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Clinical and immunologic characterization in 26 Indian pemphigus patients.

AbstractBACKGROUND:
Pemphigus shows geographically variable characteristics.
OBJECTIVE:
To study the clinical and immunologic characteristics of Indian pemphigus patients before and after treatment.
METHODS:
Twenty-six Indian pemphigus patients were analyzed with regard to age, gender, clinical features, treatments and response, the results of histopathology, direct and indirect immunofluorescence (IF), enzyme-linked immunosorbent assay (ELISA), and immunoblot analyses.
RESULTS:
There were 22 pemphigus vulgaris (PV) and 4 pemphigus foliaceus (PF) patients. Direct and indirect IF was positive in 95.8% and 56% of patients, respectively. Indices of ELISA were lower in our study. Immunoblot assays detected the 130 kDa desmoglein-3 in 10 PV patients and the 160 kDa desmoglein-1 in 1 PV patient; 190 kDa periplakin was unexpectedly detected in 8 patients.
CONCLUSION:
Indian pemphigus patients showed several unique characteristics, including younger population, predominance of PV, low ELISA indices, lower sensitivity of indirect IF and immunoblotting, and the presence of the 190 kDa periplakin in nearly one-third of patients.
AuthorsDaisuke Tsuruta, Amrinder J Kanwar, Keshavamurthy Vinay, Shunpei Fukuda, Hiroshi Koga, Teruki Dainichi, Chika Ohata, Norito Ishii, Takashi Hashimoto
JournalJournal of cutaneous medicine and surgery (J Cutan Med Surg) 2013 Sep-Oct Vol. 17 Issue 5 Pg. 321-31 ISSN: 1203-4754 [Print] United States
PMID24067852 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Inflammatory Agents
  • Desmoglein 1
  • Desmoglein 3
  • Immunologic Factors
  • PPL protein, human
  • Plakins
Topics
  • Adult
  • Age Factors
  • Anti-Inflammatory Agents (therapeutic use)
  • Cohort Studies
  • Desmoglein 1 (metabolism)
  • Desmoglein 3 (metabolism)
  • Female
  • Humans
  • Immunologic Factors (therapeutic use)
  • India
  • Male
  • Middle Aged
  • Pemphigus (immunology, pathology, therapy)
  • Plakins (metabolism)
  • Severity of Illness Index
  • Young Adult

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