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Incidence of Dermatitis Herpetiformis in Sweden 2005 to 2018 : A Nationwide Retrospective Cohort Study

Albadri, Zeyad ; Al Bayati, Doua ; Häbel, Henrike ; Jerkovic Gulin, Sandra ; Grönhagen, Carina LU and Seifert, Oliver (2023) In Acta Dermato-Venereologica 103.
Abstract

Dermatitis herpetiformis has been investigated in the past; however, only a limited number of studies have reported its incidence based on validated nationwide population-based registries. To address this gap, the aims of this study are to estimate the incidence of dermatitis herpetiformis in Sweden and to validate the National Patient Register (NPR) for diagnosis of dermatitis herpetiformis. A population-based open cohort study was conducted, including all patients diagnosed with dermatitis herpetiformis (International Classification of Diseases 10th revision; ICD-10 code L13.0) in Sweden from 2005 to 2018 (n = 1,724), identified from the NPR. The diagnosis of dermatitis herpetiformis in the NPR was validated using medical records,... (More)

Dermatitis herpetiformis has been investigated in the past; however, only a limited number of studies have reported its incidence based on validated nationwide population-based registries. To address this gap, the aims of this study are to estimate the incidence of dermatitis herpetiformis in Sweden and to validate the National Patient Register (NPR) for diagnosis of dermatitis herpetiformis. A population-based open cohort study was conducted, including all patients diagnosed with dermatitis herpetiformis (International Classification of Diseases 10th revision; ICD-10 code L13.0) in Sweden from 2005 to 2018 (n = 1,724), identified from the NPR. The diagnosis of dermatitis herpetiformis in the NPR was validated using medical records, histopathological and immunopathological data, yielding a positive predictive value (PPV) of 62.5%. The mean annual incidence of dermatitis herpetiformis was 0.93/100,000 (95% confidence interval 0.79–1.08), female to male ratio 1:1, and mean age at diagnosis 60.9 years. In conclusion, this large nationwide cohort study showed a low validity for diagnosis of dermatitis herpetiformis in the NPR, and the adjusted incidence rate of dermatitis herpetiformis in Sweden was estimated to be 0.93/100,000, which is lower than that in previous Swedish studies.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
dermatitis herpetiformis, healthcare registries, incidence, medical records, population-based cohort study
in
Acta Dermato-Venereologica
volume
103
article number
adv13210
publisher
Medical Journals Limited
external identifiers
  • pmid:37971253
  • scopus:85177206892
ISSN
0001-5555
DOI
10.2340/actadv.v103.13210
language
English
LU publication?
yes
id
6410e011-4696-486b-b2b1-88113c980c29
date added to LUP
2023-12-14 13:32:41
date last changed
2024-04-13 05:34:27
@article{6410e011-4696-486b-b2b1-88113c980c29,
  abstract     = {{<p>Dermatitis herpetiformis has been investigated in the past; however, only a limited number of studies have reported its incidence based on validated nationwide population-based registries. To address this gap, the aims of this study are to estimate the incidence of dermatitis herpetiformis in Sweden and to validate the National Patient Register (NPR) for diagnosis of dermatitis herpetiformis. A population-based open cohort study was conducted, including all patients diagnosed with dermatitis herpetiformis (International Classification of Diseases 10th revision; ICD-10 code L13.0) in Sweden from 2005 to 2018 (n = 1,724), identified from the NPR. The diagnosis of dermatitis herpetiformis in the NPR was validated using medical records, histopathological and immunopathological data, yielding a positive predictive value (PPV) of 62.5%. The mean annual incidence of dermatitis herpetiformis was 0.93/100,000 (95% confidence interval 0.79–1.08), female to male ratio 1:1, and mean age at diagnosis 60.9 years. In conclusion, this large nationwide cohort study showed a low validity for diagnosis of dermatitis herpetiformis in the NPR, and the adjusted incidence rate of dermatitis herpetiformis in Sweden was estimated to be 0.93/100,000, which is lower than that in previous Swedish studies.</p>}},
  author       = {{Albadri, Zeyad and Al Bayati, Doua and Häbel, Henrike and Jerkovic Gulin, Sandra and Grönhagen, Carina and Seifert, Oliver}},
  issn         = {{0001-5555}},
  keywords     = {{dermatitis herpetiformis; healthcare registries; incidence; medical records; population-based cohort study}},
  language     = {{eng}},
  publisher    = {{Medical Journals Limited}},
  series       = {{Acta Dermato-Venereologica}},
  title        = {{Incidence of Dermatitis Herpetiformis in Sweden 2005 to 2018 : A Nationwide Retrospective Cohort Study}},
  url          = {{http://dx.doi.org/10.2340/actadv.v103.13210}},
  doi          = {{10.2340/actadv.v103.13210}},
  volume       = {{103}},
  year         = {{2023}},
}