Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review

Various studies have shown that individuals with bullous pemphigoid (BP) are more likely to develop venous thromboembolism (VTE). However, it is important to acknowledge that these studies primarily focused on individuals in Western nations, which restricts their generalization to a wider demograph...

Full description

Saved in:
Bibliographic Details
Main Authors: Atheer G. Almutairi, Abeer G. Almutairi, Rahaf R. Almutairi, Asem Shadid, Alhanouf A. Bin Dakhil, Lamia Alakrash
Format: Article
Language:English
Published: PAGEPress Publications 2025-01-01
Series:Dermatology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/dr/article/view/10257
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832582324033683456
author Atheer G. Almutairi
Abeer G. Almutairi
Rahaf R. Almutairi
Asem Shadid
Alhanouf A. Bin Dakhil
Lamia Alakrash
author_facet Atheer G. Almutairi
Abeer G. Almutairi
Rahaf R. Almutairi
Asem Shadid
Alhanouf A. Bin Dakhil
Lamia Alakrash
author_sort Atheer G. Almutairi
collection DOAJ
description Various studies have shown that individuals with bullous pemphigoid (BP) are more likely to develop venous thromboembolism (VTE). However, it is important to acknowledge that these studies primarily focused on individuals in Western nations, which restricts their generalization to a wider demographic. The present systematic review aims to assess the cumulative risk of VTE in individuals with BP compared to healthy individuals. PubMed, Cochrane, and Scopus databases were searched for evidence-based research papers on BP and VTE. Eligibility criteria were based on the PICOS criteria. The Newcastle-Ottawa scale assessed methodological quality. After database searches, 115 studies meeting the inclusion criteria were identified. A manual inquiry yielded an additional 11 articles. After removing duplicates (n=54), 72 publications underwent title and abstract evaluation, resulting in the exclusion of 44 manuscripts. Consequently, the remaining full-text articles were thoroughly examined. Following full-text screening, 9 publications were included. The studies were conducted in Denmark, the USA, the UK, Taiwan, and Italy. The findings enhanced the generalizability of the correlation between VTE and BP. Individuals with systemic autoimmune diseases were found to have a 1.5 to 4 times higher likelihood of developing VTE. The analysis revealed that patients with pemphigus face a twofold higher risk of VTE, especially within the first few years after diagnosis. These results may enhance the recognition of pulmonary embolism in BP patients and motivate the prevention of secondary risk markers associated with VTE. Given the morbidity, VTE risk in BP patients warrants greater attention in public healthcare.
format Article
id doaj-art-9de57451fdb74031b671640fefddd8ac
institution Kabale University
issn 2036-7392
2036-7406
language English
publishDate 2025-01-01
publisher PAGEPress Publications
record_format Article
series Dermatology Reports
spelling doaj-art-9de57451fdb74031b671640fefddd8ac2025-01-30T01:44:09ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062025-01-0110.4081/dr.2025.10257Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic reviewAtheer G. Almutairi0Abeer G. Almutairi1Rahaf R. Almutairi2Asem Shadid3Alhanouf A. Bin Dakhil4Lamia Alakrash5College of Medicine, Qassim University, UnaizahSulaiman Al Rajhi University, QassimCollege of Medicine, Imam Mohammed Ibn Saud Islamic University, RiyadhDermatology, King Fahad Medical City, RiyadhKing Fahd University Hospital, KhobarDermatology, King Fahad Medical City, Riyadh Various studies have shown that individuals with bullous pemphigoid (BP) are more likely to develop venous thromboembolism (VTE). However, it is important to acknowledge that these studies primarily focused on individuals in Western nations, which restricts their generalization to a wider demographic. The present systematic review aims to assess the cumulative risk of VTE in individuals with BP compared to healthy individuals. PubMed, Cochrane, and Scopus databases were searched for evidence-based research papers on BP and VTE. Eligibility criteria were based on the PICOS criteria. The Newcastle-Ottawa scale assessed methodological quality. After database searches, 115 studies meeting the inclusion criteria were identified. A manual inquiry yielded an additional 11 articles. After removing duplicates (n=54), 72 publications underwent title and abstract evaluation, resulting in the exclusion of 44 manuscripts. Consequently, the remaining full-text articles were thoroughly examined. Following full-text screening, 9 publications were included. The studies were conducted in Denmark, the USA, the UK, Taiwan, and Italy. The findings enhanced the generalizability of the correlation between VTE and BP. Individuals with systemic autoimmune diseases were found to have a 1.5 to 4 times higher likelihood of developing VTE. The analysis revealed that patients with pemphigus face a twofold higher risk of VTE, especially within the first few years after diagnosis. These results may enhance the recognition of pulmonary embolism in BP patients and motivate the prevention of secondary risk markers associated with VTE. Given the morbidity, VTE risk in BP patients warrants greater attention in public healthcare. https://www.pagepress.org/journals/dr/article/view/10257Blistering diseasebullous pemphigoiddeep vein thrombosispulmonary embolismvenous thromboembolism
spellingShingle Atheer G. Almutairi
Abeer G. Almutairi
Rahaf R. Almutairi
Asem Shadid
Alhanouf A. Bin Dakhil
Lamia Alakrash
Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
Dermatology Reports
Blistering disease
bullous pemphigoid
deep vein thrombosis
pulmonary embolism
venous thromboembolism
title Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
title_full Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
title_fullStr Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
title_full_unstemmed Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
title_short Venous thromboembolism in bullous pemphigoid: current evidence and update on systematic review
title_sort venous thromboembolism in bullous pemphigoid current evidence and update on systematic review
topic Blistering disease
bullous pemphigoid
deep vein thrombosis
pulmonary embolism
venous thromboembolism
url https://www.pagepress.org/journals/dr/article/view/10257
work_keys_str_mv AT atheergalmutairi venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview
AT abeergalmutairi venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview
AT rahafralmutairi venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview
AT asemshadid venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview
AT alhanoufabindakhil venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview
AT lamiaalakrash venousthromboembolisminbullouspemphigoidcurrentevidenceandupdateonsystematicreview