Revisiting the question of pemphigus classification

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Abstract

Analysis of various classifications of pemphigus shows that there are no fundamental differences between them. The main distinctions consist in use of diverse terms in naming of some forms of pemphigus and in inclusion or exclusion of certain subtypes from the classifications. Authors propose to use the following classification in the dermatological clinical practice, for educational and scientific purposes and for clinical guidelines: 1) pemphigus vulgaris (1.1. Pemphigu s vegetans); 2) pemphigus foliaceus (2.1. Pemphigus endemic (Fogo selvagem), 2.2. Pemphigus erythematosus (Senear — Usher)); 3) herpetiform pemphigus; 4) paraneoplastic pemphigus; 5) IgA pemphigus (5.1. Subcorneal pustular dermatosis, 5.2. Intraepidermal neutrophilic dermatosis).

About the authors

Alexey V. Samtsov

S.M. Kirov Military Medical Academy

Author for correspondence.
Email: avsamtsov@mail.ru
ORCID iD: 0000-0002-9458-0872
SPIN-code: 2287-5062

MD, Dr. Sci. (Med.), Professor

Russian Federation, Akademika Lebedeva str., 6, 194044, Saint Petersburg

Evgeny V. Sokolovskiy

First Pavlov State Medical University of Saint Petersburg

Email: s40@mail.ru
ORCID iD: 0000-0001-7610-6061
SPIN-code: 6807-7137

MD, Dr. Sci. (Med.), Professor

Russian Federation, Lev Tolstoy str., 6–8, 197022, Saint Petersburg

Natalia P. Teplyuk

Sechenov University

Email: teplyukn@gmail.com
ORCID iD: 0000-0002-5800-4800
SPIN-code: 8013-3256

MD, Dr. Sci. (Med.), Professor

Russian Federation, Trubetskaya str., 8–2, 119991, Moscow

Irena E. Belousova

S.M. Kirov Military Medical Academy

Email: irena.belousova@mail.ru
ORCID iD: 0000-0002-4374-4435
SPIN-code: 6386-1117

MD, Dr. Sci. (Med.), Professor

Russian Federation, Akademika Lebedeva str., 6, 194044, Saint Petersburg

Muza M. Kokhan

Ural Scientific Research Institute of Dermatovenerology and Immunopathology

Email: mkokhan@yandex.ru
ORCID iD: 0000-0001-6353-6644
SPIN-code: 3470-9306

MD, Dr. Sci. (Med.), Professor

Russian Federation, Shcherbakova str., 8, 620076, Ekaterinburg

Elena V. Matushevskaya

Academy of postgraduate education under FSBU FSCC of FMBA of Russia

Email: matushevskaya@mail.ru
ORCID iD: 0000-0003-4583-0617
SPIN-code: 7430-2112

MD, Dr. Sci. (Med.), Professor

Russian Federation, Volokolamskoe hwy, 91, 125371, Moscow

References

  1. Joly P, Horvath B, Patsatsi A, et al. Updated S2K guidelines on the management of pemphigus vulgaris and foliaceus initiated by the european academy of dermatology and venereology (EADV). J Eur Acad Dermatol Venereol. 2020;34(9):1900–1913. doi: 10.1111/jdv.16752
  2. Porro AM, Seque CA, Ferreira MCC, Enokihara MMSES. Pemphigus vulgaris. An Bras Dermatol. 2019;94(3):264–278. doi: 10.1590/abd1806-4841.20199011
  3. Egami S, Yamagami J, Amagai M. Autoimmune bullous skin diseases, pemphigus and pemphigoid. J Allergy Clin Immunol. 2020;145(4):1031–1047. doi.org/10.1016/j.jaci.2020.02.013
  4. Lever WF. Pemphigus. Medicine (Baltimore). 1953;32(1):1–123. doi: 10.1097/00005792-195302000-00001
  5. Jablonska S, Chorzelski TP, Beutner EH, Chorzelska J. Herpetiform pemphigus, a variable pattern of pemphigus. Int J Dermatol. 1975;14(5):353–359. doi: 10.1111/j.1365-4362.1975.tb00125.x
  6. Wallach D, Foldès C, Cottenot F. Pustulose sous-cornée, acantholyse superficielle et IgA monoclonale [Subcorneal pustulosis, superficial acantholysis and monoclonal IgA]. Ann Dermatol Venereol. 1982;109(11):959–963 (In French).
  7. Robinson ND, Hashimoto T, Amagai M, Chan LS. The new pemphigus variants. J Am Acad Dermatol. 1999;40(5 Pt 1):649–673. doi: 10.1016/s0190-9622(99)70145-3
  8. Anhalt GJ, Kim SC, Stanley JR, et al. Paraneoplastic pemphigus. An autoimmune mucocutaneous disease associated with neoplasia. N Engl J Med. 1990;323(25):1729–1735. doi: 10.1056/NEJM199012203232503
  9. Anhalt GJ. Paraneoplastic pemphigus. Adv Dermatol. 1997;12:77–97.
  10. Wojnarowska F, Venning VA. Immunobullous Diseases. In: Burns T, Breathnach S, Cox N, Griffiths C 8th, editors. Rook’s Textbook of Dermatology. Blackwell Publishing Ltd.; 2010.
  11. Самцов А.В., Белоусова И.Э. Буллезные дерматозы. СПб.: ООО «Издательско-полиграфическая компания «КОСТА»; 2012. [Samtsov AV, Belousova IE. Bulleznye dermatozy. Saint Petersburg: KOSTA; 2012 (In Russ.)]
  12. Hertl M, Jedlickova H, Karpati S, et al. Pemphigus. S2 Guideline for diagnosis and treatment – guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol. 2015;29(3):405–414. doi: 10.1111/jdv.12772
  13. Marcel F. Jonkman. Autoimmune Bullous Diseases. Text and Review. Switzerland: Springer International Publishing; 2016.
  14. Махнева Н.В., Теплюк Н.П., Белецкая Л.В. Аутоиммунная пузырчатка. От истоков развития до наших дней. Екатеринбург: Издательские решения; 2016. [Mahneva NV, Tepljuk NP, Beleckaja LV. Autoimmunnaja puzyrchatka. Ot istokov razvitija do nashih dnej. Ekaterinburg: Izdatel'skie reshenija; 2016 (In Russ).]
  15. Korman N. Pemphigus. J Am Acad Dermatol. 1988;18(6):1219–1238. doi: 10.1016/s0190-9622(88)70128-0
  16. Megahed M. Histopathology of Blistering Diseases: Springer; 2004;174–122. doi: 10.1007/978-3-642-18651-6
  17. Endo H, Rees TD, Niwa H, et al. Acantholysis may precede elevation of circulating anti-desmoglein 3 antibody levels in pemphigus vulgaris presenting with desquamative gingivitis. Clin Exp Dent Res. 2019;5(3):219–224. doi: 10.1002/cre2.174

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Copyright (c) 2021 Samtsov A.V., Sokolovskiy E.V., Teplyuk N.P., Belousova I.E., Kokhan M.M., Matushevskaya E.V.

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