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      Mortality and Cause of Death in Patients with Pemphigus.

      1 , ,
      Acta dermato-venereologica
      Acta Dermato-Venereologica

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          Abstract

          All-cause and cause-specific mortality among patients with pemphigus compared with the general population is yet to be established. This study investigated overall mortality and cause-specific mortality in a large immunopathologically validated cohort of patients with pemphigus. Mortality of patients with pemphigus was compared with age- and gender-matched control subjects in the general population. All-cause and cause-specific standardized mortality ratios (SMRs) were estimated. The study cohort included 245 patients newly-diagnosed with pemphigus between January 1990 and June 2016, contributing 2,679.4 person-years of follow-up. Overall, 48 deaths were observed during a mean follow-up period of 10.9 ± 8.1 years, which was more than twice the number expected (SMR 2.4; 95% confidence interval (95% CI) 1.82-3.20). The SMRs for death due to infections (22.6; 95% CI 13.6-35.3), namely pneumonia (25.7; 95% CI 11.7-48.8) and septicaemia (8.6; 95% CI 1.7-25.0), and due to cardiovascular diseases (2.8; 95% CI 1.0-6.0) were significantly higher than expected. Overall mortality among patients with pemphigus is 2.4-times greater than for the general population, mainly due to infections.

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          Author and article information

          Journal
          Acta Derm. Venereol.
          Acta dermato-venereologica
          Acta Dermato-Venereologica
          1651-2057
          0001-5555
          May 08 2017
          : 97
          : 5
          Affiliations
          [1 ] Department of Dermatology, Rambam Health Care Campus. POB 9602, 31096 Haifa, Israel. dr_kridin@hotmail.com.
          Article
          10.2340/00015555-2611
          28093595
          de9c6c8a-c205-474a-909a-be20fcde4982
          History

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