Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant

Paweł Pietkiewicz; Justyna Gornowicz-Porowska; Paweł Bartkiewicz; Monika Bowszyc-Dmochowska; Marian Dmochowski

doi:10.5114/ada.2017.67840

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Review paper

Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant

Paweł Pietkiewicz

,

Justyna Gornowicz-Porowska

,

Paweł Bartkiewicz

,

Monika Bowszyc-Dmochowska

,

Marian Dmochowski

Adv Dermatol Allergol 2017; XXXIV (3): 185-191

DOI: https://doi.org/10.5114/ada.2017.67840

Online publish date: 2017/05/29

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AMA

Pietkiewicz P, Gornowicz-Porowska J, Bartkiewicz P, Bowszyc-Dmochowska M, Dmochowski M. Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2017;34(3):185-191. doi:10.5114/ada.2017.67840.

APA

Pietkiewicz, P., Gornowicz-Porowska, J., Bartkiewicz, P., Bowszyc-Dmochowska, M.,  & Dmochowski, M. (2017). Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 34(3), 185-191. https://doi.org/10.5114/ada.2017.67840

Chicago

Pietkiewicz, Paweł, Justyna Gornowicz-Porowska, Paweł Bartkiewicz, Monika Bowszyc-Dmochowska,  and Marian Dmochowski. 2017. "Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 34 (3): 185-191. doi:10.5114/ada.2017.67840.

Harvard

Pietkiewicz, P., Gornowicz-Porowska, J., Bartkiewicz, P., Bowszyc-Dmochowska, M.,  and Dmochowski, M. (2017). Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 34(3), pp.185-191. https://doi.org/10.5114/ada.2017.67840

MLA

Pietkiewicz, Paweł et al. "Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 34, no. 3, 2017, pp. 185-191. doi:10.5114/ada.2017.67840.

Vancouver

Pietkiewicz P, Gornowicz-Porowska J, Bartkiewicz P, Bowszyc-Dmochowska M, Dmochowski M. Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2017;34(3):185-191. doi:10.5114/ada.2017.67840.

A range of pemphigus is relatively rare potentially fatal group of autoimmune blistering dermatoses. Usually, there is no apparent triggering, while in some predisposed patients there are alleged environmental/industrial inducing factors. In a short time period (4 years), we diagnosed 3 novel cases of pemphigus (1 pemphigus vulgaris, 1 pemphigus foliaceus and 1 shift from pemphigus foliaceus into pemphigus vulgaris) at a clinical and laboratory level (ELISA, immunofluorescence studies). We discuss a possible common inducing mechanism as these patients inhabit one estate of the Poznan suburbia (Kozieglowy, population < 12,000), Greater Poland district, Poland, and review literature data on alleged pemphigus triggers. To the best of our knowledge, this is the first report exploring the putative association between pemphigus diseases and wastewater treatment plant waterborne or volatile by-products in the vicinity of such a facility.

keywords:

Reviewing putative industrial triggering in pemphigus: cluster of pemphigus in the area near the wastewater treatment plant

Paweł Pietkiewicz , Justyna Gornowicz-Porowska , Paweł Bartkiewicz , Monika Bowszyc-Dmochowska , Marian Dmochowski

industrial dermatoses, mercaptans, pemphigus, sewage treatment plant

Paweł Pietkiewicz

,

Justyna Gornowicz-Porowska

,

Paweł Bartkiewicz

,

Monika Bowszyc-Dmochowska

,

Marian Dmochowski