Is the incidence of pemphigoid really increasing?

doi:10.1136/bmj.a1138

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Richard W Groves, head, clinical immunodermatology1,
Balbir Bhogal, chief biomedical scientist1,
Kathy Taghipour, research fellow1,
Paola Caposciutti, research fellow1,
Monika Saha, research fellow1

¹St John’s Institute of Dermatology, St Thomas’ Hospital, London SE1 7EH

richard.groves{at}kcl.ac.uk

We found the data reported by Langan et al on the apparent increasing incidence of pemphigoid striking.1

It might reasonably be expected that a fivefold increase in incidence of pemphigoid would be apparent to physicians caring for patients with the disorder. Blistering disorders are perhaps unusual among skin conditions in that they are nearly always reported to dermatologists, and specialised testing is required …