Other and unspecified pemphigoid

L12_PEMPHIGOID_NAS

bullous pemphigoid: Bullous pemphigoid (BP) is the most common form of autoimmune bullous dermatosis.

Suggest a new description

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 L12.8, L12.9, L12.9+H13.3
  • Hospital discharge: ICD-9 6945
  • Hospital discharge: ICD-8 69402
  • Cause of death: ICD-10 L12.8, L12.9, L12.9+H13.3
  • Cause of death: ICD-9 6945
  • Cause of death: ICD-8 69402
  • KELA reimbursements: KELA codes ANY
  • KELA reimbursements: ICD-10 L12

3 out of 7 registries used, show all original rules.

280

4. Check minimum number of events

None

280

5. Include endpoints

None

280

6. Filter based on genotype QC (FinnGen only)

280

Control definitions (FinnGen only)

Control exclude
L12_BULLOUS

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF6

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 2871 1684 1154
Only index persons 2032 1255 777
Unadjusted period prevalence (%)
Whole population 0.04 0.05 0.03
Only index persons 0.04 0.05 0.03
Median age at first event (years)
Whole population 75.93 76.22 75.54
Only index persons 75.51 76.02 74.67

-FinnGen-

Key figures

All Female Male
Number of individuals 280 158 122
Unadjusted period prevalence (%) 0.05 0.05 0.05
Median age at first event (years) 72.29 70.58 74.51

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
239
Matched controls
2392
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
L12.9
ICD-10 Finland
Pemphigoid, unspecified
+∞
171.1
143
*
L12.0
ICD-10 Finland
Bullous pemphigoid
2669.9
146.9
127
*
L12.8
ICD-10 Finland
Other pemphigoid
+∞
89.3
80
*
TQX10
NOMESCO Finland
Biopsy of skin and subcutaneous tissue
14.0
55.8
106
128
D07AD01
ATC
clobetasol; topical
10.1
49.5
116
203
D07AC01
ATC
betamethasone; topical
7.8
47.1
164
522
H02AB06
ATC
prednisolone; systemic
8.8
46.4
197
829
135
Kela drug reimbursment
Pemphigus
+∞
45.3
42
*
L04AX01
ATC
azathioprine; systemic
23.5
40.0
58
32
J04BA02
ATC
dapsone; oral
92.0
29.6
32
*
L12.1
ICD-10 Finland
Cicatricial pemphigoid
+∞
27.6
26
*
L30.9
ICD-10 Finland
Dermatitis, unspecified
5.4
25.0
89
237
E0000UV
ATC
NA
3.9
22.0
140
634
TQW80
NOMESCO Finland
Local dermatologic skincare
19.6
20.7
31
18
L04AX03
ATC
methotrexate; systemic (immunosuppressants)
7.0
18.9
49
85
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
3.4
17.9
132
637
D07AC13
ATC
mometasone; topical
3.5
17.4
109
462
XQ848
NOMESCO Finland
Dermatological photography
19.3
17.4
26
15
ECA20
NOMESCO Finland
Biopsy of gingiva
26.7
16.3
22
9
K13.79
ICD-10 Finland
Change in the oral mucosa UNS
16.3
15.7
25
17
EKA10
NOMESCO Finland
Biopsy of cheek
15.8
14.4
23
16
L13.9
ICD-10 Finland
Bullous disorder, unspecified
56.8
14.0
16
*
D07BB04
ATC
hydrocortisone butyrate and antiseptics; topical
3.9
12.0
54
168
E000001
ATC
NA
3.2
11.6
73
292
H13.3*L12.9
ICD-10 Finland
Ocular pemphigoid
+∞
11.5
11
*
SBA00
NOMESCO Finland
Microbiological examinations
12.0
10.8
19
17
L12
ICD-10 Finland
Pemphigoid
114.8
10.5
11
*
S99
ICPC
Skin disease other
9.7
9.7
19
21
D07BC01
ATC
betamethasone and antiseptics; topical
3.5
9.6
48
162
D07AB02
ATC
hydrocortisone butyrate; topical
2.5
8.9
87
447
SBB00
NOMESCO Finland
Fotograf of mouth and teeth
6.7
8.2
20
32
D07AB08
ATC
desonide; topical
3.2
8.0
42
147
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
3.0
7.9
48
185
K13.74
ICD-10 Finland
Lichen rubs planus in the mouth
19.1
7.7
11
6
K13.78
ICD-10 Finland
Other change in the oral mucosa
8.3
7.2
15
19
K12.10
ICD-10 Finland
Stomatitis NOS
20.8
7.2
10
5
SPAT1148
SPAT
Treatment of chronic ulcer or burn
2.6
7.1
56
253
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
2.5
7.0
58
269
L43.8
ICD-10 Finland
Other lichen planus
7.2
6.6
15
22
L12.2
ICD-10 Finland
Chronic bullous disease of childhood
+∞
6.3
6
*
L29.9
ICD-10 Finland
Pruritus, unspecified
6.3
6.1
15
25
R06AE07
ATC
cetirizine; oral
2.0
6.1
102
644
D01AC20
ATC
imidazoles/triazoles in combination with corticosteroids; topical
2.3
6.1
66
346

Mortality – FinRegistry

Association

Association between endpoint L12_PEMPHIGOID_NAS and mortality.

Females

Parameter HR [95% CI] p-value
L12_PEMPHIGOID_NAS 1.903 [1.56, 2.32] < 0.001
Birth year 0.991 [0.98, 1.0] 0.044

During the follow-up period (1.1.1998 — 31.12.2019), 546 out of 1148 females with L12_PEMPHIGOID_NAS died.

Males

Parameter HR [95% CI] p-value
L12_PEMPHIGOID_NAS 2.036 [1.5, 2.76] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 407 out of 732 males with L12_PEMPHIGOID_NAS died.

Mortality risk

Mortality risk for people of age

years, who have L12_PEMPHIGOID_NAS.

N-year risk Females Males
1 0.148% 0.367%
5 1.004% 2.224%
10 2.413% 5.341%
15 4.364% 10.53%
20 7.81% 17.358%

Relationships between endpoints

Index endpoint: L12_PEMPHIGOID_NAS – Other and unspecified pemphigoid

GWS hits: 1

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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