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International Bullous Diseases Group: consensus on diagnostic criteria for epidermolysis bullosa acquisita

Authors
 C. Prost‐Squarcioni  ;  F. Caux  ;  E. Schmidt  ;  M.F. Jonkman  ;  S. Vassileva  ;  S.C. Kim  ;  P. Iranzo  ;  M. Daneshpazhooh  ;  J. Terra  ;  J. Bauer  ;  J. Fairley  ;  R. Hall  ;  M. Hertl  ;  J.S. Lehman  ;  B. Marinovic  ;  A. Patsatsi  ;  D. Zillikens  ;  the International Bullous Diseases Group  ;  V. Werth  ;  D.T. Woodley  ;  D.F. Murrell 
Citation
 BRITISH JOURNAL OF DERMATOLOGY, Vol.179(1) : 30-41, 2018 
Journal Title
 BRITISH JOURNAL OF DERMATOLOGY 
ISSN
 0007-0963 
Issue Date
2018
Abstract
BACKGROUND: Epidermolysis bullosa acquisita (EBA) is a complex autoimmune bullous disease disease with variable clinical presentations and multiple possible diagnostic tests, making an international consensus on the diagnosis of EBA essential. OBJECTIVES: To obtain an international consensus on the clinical and diagnostic criteria for EBA. METHODS: The International Bullous Diseases Group (IBDG) met three times to discuss the clinical and diagnostic criteria for EBA. For the final voting exercise, 22 experts from 14 different countries voted on 50 different items. When > 30% disagreed with a proposal, a discussion was held and re-voting carried out. RESULTS: In total, 48 of 50 proposals achieved consensus after discussion. This included nine diagnostic criteria, which are summarized in a flow chart. The IBDG was unable to determine one procedure that would be applicable worldwide. A limitation of the study is that differential diagnosis of bullous systemic lupus erythematosus has not been addressed. CONCLUSIONS: This first international consensus conference established generally agreed-upon clinical and laboratory criteria defining the clinical classification of and diagnostic testing for EBA. Holding these voting exercises in person with the possibility of discussion prior to voting has advantages in reaching consensus over Delphi exercises with remote voting.
Full Text
https://onlinelibrary.wiley.com/doi/abs/10.1111/bjd.16138
DOI
10.1111/bjd.16138
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Soo Chan(김수찬) ORCID logo https://orcid.org/0000-0002-2327-4755
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163183
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