Table 4. Characteristics of Patients With DPP-4 Inhibitor–Associated BP and Those With Non–DPP-4 Inhibitor–Associated BPa.
Characteristic | DPP-4 Inhibitor–Associated BP (n = 36) | Non–DPP-4 Inhibitor–Associated BP (n = 46) | P Value |
---|---|---|---|
Age at diagnosis, y | .28 | ||
Mean (SD) | 77.9 (9.8) | 80.1 (8.3) | |
Median (range) | 77.5 (59.0-94.0) | 82.0 (56.0-95.0) | |
Sex | .056 | ||
Male | 21 (58.3) | 17 (37.0) | |
Female | 15 (41.7) | 29 (63.0) | |
Delay at diagnosis, mean (SD), mo | 3.4 (3.2) | 2.6 (2.7) | .22 |
Atypical clinical variants of BPb | 5 (13.9) | 4 (8.7) | .46 |
Distribution of bullous lesions | |||
Mucosal involvement | 8 (22.2) | 3 (6.5) | .04 |
Limbs | 35 (97.1) | 46 (100) | .25 |
Trunk | 35 (97.1) | 41 (88.9) | .16 |
Hands and/or feet | 12 (33.3) | 17 (36.9) | .74 |
Head and neck | 16 (44.4) | 17 (37.8) | .55 |
Severity | .28 | ||
Extensive disease | 20 (55.6) | 20 (43.5) | |
Mild to moderate | 16 (44.4) | 26 (56.5) | |
Anti–basement membrane antibodies detected by indirect IF | 14 (38.9) | 26 (56.5) | .12 |
Treatment | |||
Oral prednisone >1 mg/kg | 22 (61.3) | 30 (65.0) | .73 |
Prednisone dose at discharge, mean (SD), mg | 39.4 (18.8) | 42.6 (17.3) | .43 |
Adjuvant immunosuppressant | 15 (41.7) | 11 (23.9) | .09 |
Topical steroids | 4 (11.1) | 4 (8.7) | .72 |
Peripheral eosinophilia | |||
Eosinophil count, mean (SD), cells/μL | 399.8 (508.0) | 1117.6 (1847.6) | .01 |
Other hematologic biomarkers, mean (SD) | |||
WBC count, cells/μL | 9163.0 (3082.6) | 10 052.2 (3593.3) | .24 |
Platelet count, ×103/μL | 226.5 (67.5) | 264.4 (75.8) | .02 |
ESR, mm/h | 35.4 (28.1) | 34.1 (19.4) | .81 |
Abbreviations: BP, bullous pemphigoid; DPP-4 inhibitor, dipeptidyl peptidase 4 inhibitor; ESR, erythrocyte sedimentation rate; IF, immunofluorescence; WBC, white blood cell.
Unless otherwise indicated, data are reported as number (percentage) of participants.
Including the prurigo-like type, urticaria-like type, eczema-like type, and dyshidrosiform type.