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Cited by 523

The DOI matches its Crossref record; 107 of the 107 references it cites were found in a registry or an index.

Pemphigus

Open access
Kasperkiewicz, Michael, Ellebrecht, Christoph T., Takahashi, Hayato, Yamagami, Jun, Zillikens, Detlef, Payne, Aimee S., Amagai, Masayuki·2017·Nature Reviews Disease Primers

Abstract

Pemphigus is a group of IgG-mediated autoimmune diseases of stratified squamous epithelia, such as the skin and oral mucosa, in which acantholysis (the loss of cell adhesion) causes blisters and erosions. Pemphigus has three major subtypes: pemphigus vulgaris, pemphigus foliaceus and paraneoplastic pemphigus. IgG autoantibodies are characteristically raised against desmoglein 1 and desmoglein 3, which are cell–cell adhesion molecules found in desmosomes. The sites of blister formation can be physiologically explained by the anti-desmoglein autoantibody profile and tissue-specific expression pattern of desmoglein isoforms. The pathophysiological roles of T cells and B cells have been characterized in mouse models of pemphigus and patients, revealing insights into the mechanisms of autoimmunity. Diagnosis is based on clinical manifestations and confirmed with histological and immunochemical testing. The current first-line treatment is systemic corticosteroids and adjuvant therapies, including immunosuppressive agents, intravenous immunoglobulin and plasmapheresis. Rituximab, a monoclonal antibody against CD20+ B cells, is a promising therapeutic option that may soon become first-line therapy. Pemphigus is one of the best-characterized human autoimmune diseases and provides an ideal paradigm for both basic and clinical research, especially towards the development of antigen-specific immune suppression treatments for autoimmune diseases.

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Metadata

Authors
Kasperkiewicz, M., Ellebrecht, C. T., Takahashi, H., Yamagami, J., Zillikens, D., Payne, A. S., & Amagai, M.
Venue
Nature Reviews Disease Primers
Published
2017-05-11
Volume
3
Issue
1
Pages
17026-17026
ISSN
2056-676X (ISSN-L)
OpenAlex
W4210972925
Cited by
523
References
107
FWCI
8.41
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Pemphigus. https://app.cochat.ai/papers/10.1038/nrdp.2017.26
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Kasperkiewicz, M., Ellebrecht, C. T., Takahashi, H., Yamagami, J., Zillikens, D., Payne, A. S., & Amagai, M. (2017). Pemphigus. Nature Reviews Disease Primers. https://doi.org/10.1038/nrdp.2017.26

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