{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:10:36Z","timestamp":1787062236724,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T00:00:00Z","timestamp":1394064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Pemphigus vulgaris (\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      ) is a rare autoimmune disease that involves the skin and mucosa. The etiology of\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      is multifactorial and includes genetic, environmental, hormonal, and immunological factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The purpose of this study was to examine the relationships between human leukocyte antigen (\n                      <jats:styled-content style=\"fixed-case\">HLA<\/jats:styled-content>\n                      ) class II alleles associated with\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      and variations in the disease phenotype.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Forty\u2010four\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      patients were diagnosed and analyzed at the Bullous Disorders Unit in cooperation with the Institute of Immunology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.\n                      <jats:styled-content style=\"fixed-case\">HLA<\/jats:styled-content>\n                      class II alleles previously found to be associated with\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*04:02,\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*04:04,\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*14:54,\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*14:04,\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*14:05,\n                      <jats:styled-content style=\"fixed-case\">DQB<\/jats:styled-content>\n                      1*03:02 and\n                      <jats:styled-content style=\"fixed-case\">DQB<\/jats:styled-content>\n                      1*05:03) were analyzed according to disease severity,\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      type, and gender distribution.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Correlations emerged between\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      severity scores and\n                      <jats:styled-content style=\"fixed-case\">HLA<\/jats:styled-content>\n                      alleles. The\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*04:02 and\n                      <jats:styled-content style=\"fixed-case\">DQB<\/jats:styled-content>\n                      1*03:02 alleles were associated with severe\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.001);\n                      <jats:styled-content style=\"fixed-case\">DRB<\/jats:styled-content>\n                      1*04:02 was associated with the mucocutaneous type (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.024), and\n                      <jats:styled-content style=\"fixed-case\">DQB<\/jats:styled-content>\n                      1*03:02 was found more frequently in female than in male patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.016). Analyses of the other alleles did not reveal significant associations with the clinical parameters evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The HLA DRB1* and\n                      <jats:styled-content style=\"fixed-case\">DQB<\/jats:styled-content>\n                      1* alleles influence susceptibility to\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      and may contribute to\n                      <jats:styled-content style=\"fixed-case\">PV<\/jats:styled-content>\n                      severity and type. These results suggest that genetic background may contribute to disease outcome by affecting the disease course and efficacy of treatment because some of the alleles were found significantly more frequently in patients with severe disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijd.12418","type":"journal-article","created":{"date-parts":[[2014,3,6]],"date-time":"2014-03-06T23:24:02Z","timestamp":1394148242000},"page":"168-173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["<scp>HLA DRB<\/scp>\n                    1* and\n                    <scp>DQB<\/scp>\n                    1* alleles are associated with disease severity in patients with pemphigus vulgaris"],"prefix":"10.1111","volume":"54","author":[{"given":"Danka","family":"Svecova","sequence":"first","affiliation":[{"name":"Department of Dermatovenereology Faculty of Medicine Comenius University Bratislava Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuzana","family":"Parnicka","sequence":"additional","affiliation":[{"name":"Institute of Immunology Faculty of Medicine Comenius University Bratislava Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Pastyrikova","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Faculty of Medicine Comenius University Bratislava Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Slavomir","family":"Urbancek","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology Faculty of Medicine Slovak Medical University F. 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