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. 2018 Aug 8;154(10):1152–1158. doi: 10.1001/jamadermatol.2018.2352

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.

a

Unless otherwise indicated, data are reported as number (percentage) of participants.

b

Including the prurigo-like type, urticaria-like type, eczema-like type, and dyshidrosiform type.