The first international consensus on mucous membrane pemphigoid - Definition, diagnostic criteria, pathogenic factors, medical treatment, and prognostic indicators

The first international consensus on mucous membrane pemphigoid - Definition, diagnostic criteria, pathogenic factors, medical treatment, and prognostic indicators
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DOI:
10.1001/archderm.138.3.370
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发表时间:
2002-03-01
影响因子:
--
通讯作者:
Zone, JJ
Zone, JJ
中科院分区:
其他
文献类型:
--
作者:
Chan, LS;Ahmed, AR;Zone, JJ

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目的:我们的目标是制定基于共识的建议,以简化各种医疗保健专业人员之间的医疗交流,提高诊断和治疗的准确性,并促进未来对粘膜类天疱疮的调查。参与者:由于这类疾病的高度特异性,26位受邀的与会者包括粘膜类天疱疮领域的国际学者或皮肤药理学专家代表眼科、口腔医学和皮肤病学3个医学学科。证据:第一作者(L.S.C.)进行了文献检索。根据所获得的信息,国际专家谁曾在粘膜类天疱疮的临床护理,诊断和实验室研究的文献作出了贡献,被邀请参加一个共识会议,旨在制定一个共识statement.Consensus过程:一个共识会议召开,并于1999年5月10日进行,在芝加哥,111,讨论有关问题。第一作者根据会议达成的共识和与会者的书面意见起草了声明。将草案提交给所有参与者进行3轮单独审查,并根据文献证据协调分歧。第三个也是最后一个声明包含了文献检索中获得的所有相关证据和参与者达成的共识。最后的声明被批准,并赞同所有26 participants.Conclusions:具体的共识为基础的建议,作出了关于定义,诊断标准,致病因素,药物治疗和预后指标粘膜类天疱疮。建议为这些患者建立一个标准报告系统,以促进统一的数据收集。
Objective: We aimed to develop consensus-based recommendations for streamlining medical communication among various health care professionals, to improve accuracy of diagnosis and treatment, and to facilitate future investigations for mucous membrane pemphigoid.Participants: Because of the highly specific nature of this group of diseases, the 26 invited participants included either international scholars in the field of mucous membrane pemphigoid or experts in cutaneous pharmacology representing the 3 medical disciplines ophthalmology, oral medicine, and dermatology.Evidence: The first author (L.S.C,) conducted a literature search. Based on the information obtained, inter-national experts who had contributed to the literature in the clinical care, diagnosis, and laboratory investigation for mucous membrane pemphigoid were invited to participate in a consensus meeting aimed at developing a consensus statement.Consensus Process: A consensus meeting was convened and conducted on May 10, 1999, in Chicago, 111, to discuss the relevant issues. The First author drafted die statement based on the consensus developed at the meeting and the participants' written comments. The draft was submitted to all participants for 3 separate rounds of review, and disagreements were reconciled based on literature evidence. The third and final statement incorporated all relevant evidence obtained in the literature search and the consensus developed by the participants. The final statement was approved and endorsed by all 26 participants.Conclusions: Specific consensus-based recommendations were made regarding the definition, diagnostic criteria, pathogenic factors, medical treatment, and prognostic indicators for mucous membrane pemphigoid. A system of standard reporting for these patients was proposed to facilitate a uniform data collection.