Updated S2 K guidelines for the management of bullous pemphigoid initiated by the European Academy of Dermatology and Venereology (EADV)

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Universität Bern
  • Universität zu Lübeck
  • University of Parma
  • CHU Hôpitaux de Rouen
  • Università degli Studi di Firenze
  • Rambam Health Care Campus Israel
  • Technion-Israel Institute of Technology
  • Medizinische Universität Innsbruck
  • Université Paris 13
  • National University of Singapore
  • Ospedale Cristo Re
  • Tehran University of Medical Sciences
  • Postgraduate Institute of Medical Education and Research
  • Philipps-Universität Marburg
  • IRCCS Istituto Dermopatico dell'Immacolata - Roma
  • University of Medical Sciences Poznan
  • Medical University Sofia
  • Westfälische Wilhelms-Universität Münster
  • Julius-Maximilians-Universität Würzburg
  • King's College London (KCL)
  • University of Groningen
  • Helios Universitätsklinikum Wuppertal
  • Aristotle University of Thessaloniki
  • Medizinische Universität Wien
  • Sigmund Freud PrivatUniversität Wien (SFU)
  • Masaryk University
  • Medical University of Warsaw
  • National Skin Centre, Singapore
  • University of Zagreb
  • IRCCS Fondazione Ca'Granda – Ospedale Maggiore Policlinico - Milano
  • Università degli Studi di Milano
  • Universitat de Barcelona
  • University of New South Wales
  • University of Modena and Reggio Emilia
  • Ludwig-Maximilians-Universität München (LMU)
  • Semmelweis University
  • Guy's and St Thomas' NHS Foundation Trust
  • Tel Aviv University
  • University of Oulu
  • Akdeniz University
  • Universität Aarhus
  • Fourth Military Medical University

Abstract

Background: Bullous pemphigoid (BP) is the most common autoimmune subepidermal blistering disease of the skin and mucous membranes. This disease typically affects the elderly and presents with itch and localized or, most frequently, generalized bullous lesions. A subset of patients only develops excoriations, prurigo-like lesions, and eczematous and/or urticarial erythematous lesions. The disease, which is significantly associated with neurological disorders, has high morbidity and severely impacts the quality of life. Objectives and methodology: The Autoimmune blistering diseases Task Force of the European Academy of Dermatology and Venereology sought to update the guidelines for the management of BP based on new clinical information, and new evidence on diagnostic tools and interventions. The recommendations are either evidence-based or rely on expert opinion. The degree of consent among all task force members was included. Results: Treatment depends on the severity of BP and patients' comorbidities. High-potency topical corticosteroids are recommended as the mainstay of treatment whenever possible. Oral prednisone at a dose of 0.5 mg/kg/day is a recommended alternative. In case of contraindications or resistance to corticosteroids, immunosuppressive therapies, such as methotrexate, azathioprine, mycophenolate mofetil or mycophenolate acid, may be recommended. The use of doxycycline and dapsone is controversial. They may be recommended, in particular, in patients with contraindications to oral corticosteroids. B-cell-depleting therapy and intravenous immunoglobulins may be considered in treatment-resistant cases. Omalizumab and dupilumab have recently shown promising results. The final version of the guideline was consented to by several patient organizations. Conclusions: The guidelines for the management of BP were updated. They summarize evidence- and expert-based recommendations useful in clinical practice.

Details

OriginalspracheEnglisch
Seiten (von - bis)1689-1704
Seitenumfang16
FachzeitschriftJournal of the European Academy of Dermatology and Venereology
Jahrgang36
Ausgabenummer10
Frühes Online-Datum29 Juni 2022
PublikationsstatusVeröffentlicht - Okt. 2022
Peer-Review-StatusJa

Externe IDs

PubMed 35766904
ORCID /0000-0002-4330-1861/work/152544367

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Bibliotheksschlagworte