Abstract

Bullous pemphigoid (BP) is the most common type of subepidermal autoimmune bullous diseases. BP characteristically affects the elderly and is seen mainly in patients older than 70 years. While the annual incidence of BP has been estimated to be between 2.4 and 23 cases per million in the general population, it rises exponentially to 190–312 cases per million in individuals older than 80 years. In addition, a growing body of evidence reports a remarkable trend of increased incidence of BP, showing a 1.9- to 4.3-fold rise over the past two decades. This demonstrable increase warrants a higher awareness of the increased risk to develop BP. This review summarizes the current understanding of the epidemiological features of BP and sheds light on the putative explanations for its growing incidence.

Highlights

  • Bullous pemphigoid (BP) is the most common type of subepidermal autoimmune bullous diseases

  • This review summarizes the current understanding of the epidemiological features of BP and sheds light on the putative explanations for its growing incidence

  • An even higher annual incidence of 42.8 cases per million population was reported in the United Kingdom (UK), this report may be interpreted with caution as it is based on a computerized longitudinal general practice database [12]

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Summary

Frontiers in Medicine

Bullous pemphigoid (BP) is the most common type of subepidermal autoimmune bullous diseases. BP characteristically affects the elderly and is seen mainly in patients older than 70 years. While the annual incidence of BP has been estimated to be between 2.4 and 23 cases per million in the general population, it rises exponentially to 190–312 cases per million in individuals older than 80 years. A growing body of evidence reports a remarkable trend of increased incidence of BP, showing a 1.9- to 4.3-fold rise over the past two decades. This demonstrable increase warrants a higher awareness of the increased risk to develop BP. This review summarizes the current understanding of the epidemiological features of BP and sheds light on the putative explanations for its growing incidence

THE GENERAL EPIDEMIOLOGY OF BP
Increasing Incidence of BP
Increasing Life Expectancy of the Populations
Increasing Incidence of Disabling Neurological Conditions
Increasing Use of Certain Culprit Drugs
France Germany United Kingdom Israel
Increasing Awareness of the Atypical Variants of BP
Better Diagnostic Methods
Findings
CONCLUSION
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