{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:21:31Z","timestamp":1790709691527,"version":"4.1.0"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["ijdvl.com"],"crossmark-restriction":true},"short-container-title":["Indian J Dermatol Venereol Leprol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pemphigus vulgaris is a chronic autoimmune blistering disorder that primarily affects the oral mucosa, with over two-thirds of patients developing oral lesions, often preceding skin involvement by weeks or months. The oral disease severity score (ODSS) provides a detailed, region-specific assessment of oral lesions, facilitating regular monitoring and treatment response. However, it lacks a comprehensive severity evaluation cut-offs needed for systemic therapy decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To categorise oral pemphigus severity into moderate, significant, and extensive using ODSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included 25 oral pemphigus patients, confirmed histopathologically or by anti-DSG 3, evaluated severity using ODSS and PDAI scales, with statistical significance analysed between the scores and categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study comprised 25 subjects with a mean age of 47.48 years (\u00b115.692), including 8 males (32%) and 17 (68%) females. The mean ODSS and PDAI scores were 30.12 (\u00b113.902) and 20.72 (\u00b114.105), respectively. A highly significant positive correlation (r=0.962, p-value &lt;0.001) was observed between PDAI and ODSS scores. An AUC value (&gt;0.8) confirmed ODSS\u2019s good discriminating ability, categorising oral pemphigus severity: &lt;21.5 as moderate, 21.5\u201348.5 as significant, and &gt;48.5 as extensive, as per PDAI criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitation<\/jats:title>\n                    <jats:p>Small sample size is the major limitation of this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study proposes severity categories for ODSS for oral pemphigus, allowing it to be used for personalised treatment decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/ijdvl_1527_2024","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T06:07:22Z","timestamp":1744783642000},"page":"371-375","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Correlating pemphigus disease area index (PDAI) severity categories with oral disease severity score (ODSS) in oral mucosal pemphigus - A pilot study"],"prefix":"10.25259","volume":"92","author":[{"given":"Arun Dev","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashanthi","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Parihar","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujata","family":"Tosh","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashi","family":"Mandlik","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"10.25259\/IJDVL_1527_2024\/ref-1","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1080\/08916930600971414","article-title":"Pemphigus in the XXI century: New life to an old story","volume":"39","author":"Grando","year":"2006","journal-title":"Autoimmunity"},{"key":"10.25259\/IJDVL_1527_2024\/ref-2","doi-asserted-by":"publisher","first-page":"17026","DOI":"10.1038\/nrdp.2017.26","article-title":"Pemphigus","volume":"3","author":"Kasperkiewicz","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"10.25259\/IJDVL_1527_2024\/ref-3","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1056\/NEJM199012203232503","article-title":"Paraneoplastic pemphigus. 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