Mortality and risk factors among Israeli bullous pemphigoid patients.

Abstract:

:There are differences concerning reported mortality rates and prognostic factors of bullous pemphigoid (BP) patients in different studies. Our objectives were to evaluate the mortality rates and prognostic factors among Israeli BP patients compared to matched control subjects. Three age- and sex-matched patients without BP (n = 261) who were treated in our clinic were selected and compared to BP patients (n = 87). Mean survival period of the BP group was 4.1 years (95% CI: 3.3-4.8 years) and 5.9 years among the non-BP group (95% CI: 5.6-6.3 years). The 1-year mortality rate was 24.1% for the BP group and 6.5% for the control group. In multivariate analysis, age above 80 was a significant risk factor for mortality [HR 3.22 (95% CI, 1.15-8.96), p = 0.03], while statins intake had a protective role [HR 0.36 (95% CI, 0.15-0.88), p = 0.03]. In univariant analysis, dementia [HR 2.44 (95% CI, 1.02-5.99), p = 0.04] was a risk factor. In conclusion, BP patients' mortality is correlated to increasing age at diagnosis, dementia, and statins use. Statins' protective role is newly discussed in the literature.

journal_name

Arch Dermatol Res

authors

Rozenblat M,Halaj A,Rozenblat T,Fisher S,Sah M,Dodiuk-Gad RP,Ziv M

doi

10.1007/s00403-018-1875-z

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

19-27

issue

1

eissn

0340-3696

issn

1432-069X

pii

10.1007/s00403-018-1875-z

journal_volume

311

pub_type

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