National Library of Medicine: IGM Full Record Screen TITLE: Blood dehydroepiandrosterone sulphate (DHEAS) levels in pemphigoid/pemphigus and psoriasis. AUTHOR: de la Torre B; Fransson J; Scheynius A AUTHOR AFFILIATION: Department of Clinical Neuroscience, Karolinska Hospital, Stockholm, Sweden. SOURCE: Clin Exp Rheumatol 1995 May-Jun;13(3):345-8 NLM CIT. ID: 96044538 ABSTRACT: Serum dehydroepiandrosterone sulphate (DHEAS) levels and diagnostic autoantibody titers were measured in patients with pemphigoid/pemphigus [n = 46/4; 21 men and 29 women, 42 to 93 years of age (mean 79)]. Twenty-four patients were either on peroral Prednisolone (n = 11), or topical treatment with betamethasone (n = 13), and the other 26 were either receiving non-steroidal drugs or were untreated. Their DHEAS levels were compared to those of 20 patients with psoriasis, and to 23 patients with secondary osteoarthritis (OA). Assessing the patients by group, the mean DHEAS level was markedly lower in the pemphigoid/pemphigus than in the psoriasis and OA patients (geometric mean 600 vs. 2130 and 2100 nmol/l, respectively; p < 0.001). This difference was independent of steroid treatment. No correlation was found between the DHEAS levels and antibody titers. The low levels found in pemphigoid/pemphigus are concordant with those reported for systemic lupus erythematosus, rheumatoid arthritis and polymyalgia rheumatica/giant cell arteritis. DHEAS deficiency is a permanent feature in these autoimmune diseases, and may contribute to their etiology and/or pathophysiology. MAIN MESH SUBJECTS: Pemphigoid, Bullous/*BLOOD/DIAGNOSIS/DRUG THERAPY Pemphigus/*BLOOD/DIAGNOSIS/DRUG THERAPY Prasterone/*ANALOGS & DERIVATIVES/BLOOD Psoriasis/*BLOOD/DIAGNOSIS/DRUG THERAPY ADDITIONAL MESH SUBJECTS: Adult Aged Aged, 80 and over Anti-Inflammatory Agents, Non-Steroidal/THERAPEUTIC USE Anti-Inflammatory Agents, Steroidal/THERAPEUTIC USE Autoantibodies/BLOOD Betamethasone/THERAPEUTIC USE Comparative Study Female Human Male Middle Age Osteoarthritis/BLOOD Prednisolone/THERAPEUTIC USE PUBLICATION TYPES: JOURNAL ARTICLE LANGUAGE: Eng REGISTRY NUMBERS: 0 (Anti-Inflammatory Agents, Non-Steroidal) 0 (Anti-Inflammatory Agents, Steroidal) 0 (Autoantibodies) 378-44-9 (Betamethasone) 50-24-8 (Prednisolone) 53-43-0 (Prasterone) 651-48-9 (Dehydroepiandrosterone Sulfate)