{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:12:04Z","timestamp":1788505924677,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Paraneoplastic pemphigus (PNP) is an uncommon autoimmune blistering disorder frequently associated with underlying malignancies. Renal cell carcinoma (RCC) is the most common primary renal cancer. It is associated with a wide range of paraneoplastic syndromes, but occasionally presents as a dermatological finding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 56-year-old woman with severe oral and cutaneous lesions was diagnosed with PNP associated with renal cell carcinoma (RCC). The patient was treated with 1 g of rituximab as an infusion, and after two weeks, another dose of 1 g of rituximab was administered in combination with steroids (prednisolone 0.5 mg\/kg) until control, then gradually decreasing by 25% each month, until we reached 5 mg\/day. The patient achieved complete clinical remission at 6 months; however, long-term outcomes remain unknown because she was subsequently lost to follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A comprehensive workup is crucial for diagnosing the underlying tumor associated with this phenomenon. Rituximab- and steroid-based therapies may be effective in controlling PNP symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476261486498","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:25:11Z","timestamp":1788308711000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Paraneoplastic Pemphigus Associated With Renal Cell Carcinoma. Rare Case Report and Literature Review"],"prefix":"10.1177","volume":"19","author":[{"given":"Halkawt Babarasul","family":"Ahmed","sequence":"first","affiliation":[{"name":"Komar University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hawnaz Atta","family":"Karim","sequence":"additional","affiliation":[{"name":"Baxshin Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Othman Abdulrahman","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Sulaimani Polytechnic University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeza Muhamad Abdul","family":"Aziz","sequence":"additional","affiliation":[{"name":"Komar University of Science and Technology"},{"name":"Baxshin Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Kaka Bra","family":"Salih","sequence":"additional","affiliation":[{"name":"Baxshin Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8311-8466","authenticated-orcid":false,"given":"Parshal","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Lumbini Medical College &Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdcr.2021.07.006"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.18931"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2021.33.3.271"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/njs.NJS_4_19"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.idoj_390_21"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2015.10.018"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8811905"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/00015550310002855"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.04.026"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.47191\/ijmscrs\/v4-i09-12"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1993.01680280071014"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/cup.14004"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2019.01259"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-016-0235-z"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13133640"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.38334"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2012.01655.x"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806-4841.20199165"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476261486498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476261486498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476261486498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T06:17:08Z","timestamp":1788502628000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476261486498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":18,"alternative-id":["10.1177\/11795476261486498"],"URL":"https:\/\/doi.org\/10.1177\/11795476261486498","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"11795476261486498"}}