title: Afro-Caribbean pemphigus: epidemiological data from a 5-year prospective study on the island of Guadeloupe (French West Indies).
abstract: BACKGROUND
  There are no reported epidemiological data regarding autoimmune pemphigus in the Afro-Caribbean population.
  
  
  OBJECTIVE
  To present the epidemiology of autoimmune pemphigus on the island of Guadeloupe (French West Indies, 400,736 inhabitants, mostly black Caribbean of African European descent).
  
  
  METHODS
  Five-year prospective study. Inclusion of the incident cases when directly referred to the Dermatology Department or secondarily referred by their private practice dermatologist once identified by the computerized databases of the Guadeloupian pathology laboratories.
  
  
  RESULTS
  World-population-standardized incidence was 6.96 (95% CI: 3.41-10.52) for pemphigus vulgaris and 3.75 (95% CI: 1.12-6.39) for pemphigus foliaceus. Patients usually live in the rural countryside, whereas 75% of the population of Guadeloupe Island live in an urban environment.
  
  
  CONCLUSIONS
  We report a high incidence of autoimmune pemphigus in Guadeloupe, especially for the foliaceus type, and the existence of particular epidemiological features such as the rural countryside habitat.
authors.affiliation: Department of Dermatology and Internal Medicine, Pointe-à-Pitre University Hospital, Pointe-à-Pitre, Guadeloupe.
authors.forename: Nadège
authors.initials: N
authors.lastname: Cordel
authors.forename: Cyril
authors.initials: C
authors.lastname: Maire
authors.forename: Daniè
authors.initials: D
authors.lastname: le Gilbert
authors.forename: Philippe
authors.initials: P
authors.lastname: Courville
authors.forename: Benoît
authors.initials: B
authors.lastname: Tressières
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044383:Black People; D005260:Female; D019430:Guadeloupe / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010392:Pemphigus / Q000453:epidemiology* / Q000473:pathology; D011446:Prospective Studies; D012424:Rural Population / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data; D044465:White People