Severe bullous disorders, KELA reimbursement

L12_PEMPHIKELA

vesiculobullous skin disease: Skin diseases characterized by local or general distributions of vesicles and bullae (i.e. blisters). Both vesicles and bullae are fluid-filled lesions, distinguished by size (vesicles being less than 5–10 mm and bullae being larger than 5–10 mm). Vesiculobullous diseases are classified according to the site and mode of blister formation. Lesions can appear spontaneously or be precipitated by infection, trauma, or sunlight. Etiologies include immunologic and genetic factors. In the case of vesiculobullous diseases which are also immune disorders, the term immunobullous is sometimes used. (From Scientific American Medicine, 1990, and Wikipedia)

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

557745

1. Apply sex-specific rule

None

557745

2. Check conditions

None

557745

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • KELA reimbursements: KELA codes 135

1 out of 7 registries used, show all original rules.

78

4. Check minimum number of events

None

78

5. Include endpoints

None

78

6. Filter based on genotype QC (FinnGen only)

70

Control definitions (FinnGen only)

Control exclude
L12_BULLOUS

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 753 435 305
Only index persons 495 299 196
Unadjusted period prevalence (%)
Whole population 0.01 0.01 0.01
Only index persons 0.01 0.01 0.01
Median age at first event (years)
Whole population 70.06 70.07 70.21
Only index persons 68.20 68.53 67.69

-FinnGen-

Key figures

All Female Male
Number of individuals 70 34 36
Unadjusted period prevalence (%) 0.01 0.01 0.02
Median age at first event (years) 64.30 60.85 67.55

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

No data

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
73
Matched controls
730
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
135
Kela drug reimbursment
Pemphigus
+∞
104.9
73
*
L12.0
ICD-10 Finland
Bullous pemphigoid
+∞
61.3
50
*
L04AX01
ATC
azathioprine; systemic
141.5
45.2
45
8
D07AD01
ATC
clobetasol; topical
14.7
31.2
43
65
TQX10
NOMESCO Finland
Biopsy of skin and subcutaneous tissue
12.7
24.6
31
40
H02AB06
ATC
prednisolone; systemic
39.9
24.0
70
269
D07AC01
ATC
betamethasone; topical
9.0
18.2
54
175
M05BA04
ATC
alendronic acid; oral
8.9
15.1
23
36
E0000UV, ,
ATC
6.6
13.4
52
200
J04BA02
ATC
dapsone; oral
+∞
12.9
12
*
L12.9
ICD-10 Finland
Pemphigoid, unspecified
+∞
12.9
12
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
5.9
11.9
51
207
D07BB04
ATC
hydrocortisone butyrate and antiseptics; topical
6.6
11.1
22
45
L12.1
ICD-10 Finland
Cicatricial pemphigoid
+∞
10.7
10
*
L10.0
ICD-10 Finland
Pemphigus vulgaris
+∞
9.6
9
*
L12.8
ICD-10 Finland
Other pemphigoid
+∞
9.6
9
*
L30.9
ICD-10 Finland
Dermatitis, unspecified
4.9
8.8
25
70
L04AX03
ATC
methotrexate; systemic
5.8
8.7
19
42
D07AC13
ATC
mometasone; topical
4.3
8.3
32
113
E000001, ,
ATC
4.6
8.2
26
79
L10.2
ICD-10 Finland
Pemphigus foliaceus
+∞
6.3
6
*

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
51
273
3.88
6.86
15.7
6.3
0.77
0.63
%
1.52
51
259
50
274
3.62
6.28
16.1
6.3
3.07
2.60
%
0.85
50
261
50
278
3.53
6.05
16.6
6.5
24.17
25.33
%
0.42
50
268
50
278
3.53
6.05
16.3
6.5
9.48
8.62
%
1.66
50
265
40
203
3.15
5.48
15.6
5.1
—
—
—
0
0
17
71
2.82
3.08
1.2
1.7
—
—
—
0
0
29
158
2.39
3.08
2.0
1.7
334.30
466.05
pmol/l
2.11
23
136
14
58
2.75
2.55
2.7
1.9
—
—
—
0
0
8
22
3.95
2.44
1.3
1.1
—
—
—
0
0
23
124
2.25
2.43
13.1
7.2
—
—
—
0
0
5
10
5.27
2.10
6.8
5.2
106.00
104.40
mmol/l
—
5
10
5
10
5.27
2.10
6.8
5.2
13.00
10.20
mmol/l
—
5
10
32
212
1.91
1.89
4.0
4.2
—
—
—
0
0
17
92
2.11
1.74
6.2
5.9
7.39
7.42
ph
—
10
57
38
272
1.83
1.73
3.9
4.0
6.08
6.23
ph
0.44
25
141
45
340
1.84
1.71
20.6
15.3
1.38
1.31
inr
0.29
40
278
35
255
1.72
1.42
4.3
4.5
0.00
0.00
estimate
—
9
67
22
141
1.80
1.38
5.1
4.5
1.02
1.02
kg/l
0.59
16
89
14
77
2.01
1.37
6.9
6.5
110.29
118.94
g/l
0.74
14
77
6
24
2.63
1.33
3.0
2.1
24.53
25.18
mmol/l
—
6
24
43
343
1.62
1.16
4.3
4.4
0.00
0.00
estimate
—
9
79
62
546
1.90
1.13
7.1
7.3
42.01
40.47
mmol/mol
0.45
57
506
13
75
1.89
1.11
2.4
4.1
7.37
7.39
ph
—
6
49
28
204
1.60
1.08
4.3
4.3
0.00
0.00
estimate
—
9
71
26
186
1.62
1.08
3.8
4.2
0.00
0.00
estimate
—
8
66
43
348
1.57
1.06
4.6
4.4
0.00
0.00
estimate
—
9
81
5
22
2.36
1.05
1.6
1.3
—
—
—
0
0
17
246
0.60
1.03
3.9
4.2
—
—
—
0
0
6
27
2.33
0.96
1.5
1.6
—
—
—
0
0
29
219
1.54
0.94
5.8
4.8
7.40
7.39
ph
0.46
19
156
43
355
1.51
0.92
4.5
4.4
0.00
0.00
estimate
—
8
75
35
278
1.50
0.89
2.9
2.7
—
—
estimate
—
0
0
8
44
1.92
0.89
2.5
2.3
192.25
108.54
ng/l
—
8
39
8
47
1.79
0.84
4.6
3.5
—
—
—
0
0
63
572
1.74
0.82
24.6
17.3
—
—
—
0
0
61
550
1.66
0.81
5.0
5.8
6.08
6.12
mmol/l
0.08
54
501
30
236
1.46
0.78
3.3
3.5
136.00
56.99
mg/l
0.61
23
159
5
23
2.26
0.78
2.8
4.0
7.44
7.40
ph
—
5
23
9
56
1.69
0.76
3.9
4.6
—
—
—
0
0
59
533
1.56
0.72
5.5
5.4
2.10
2.06
mu/l
0.09
53
474
30
242
1.41
0.67
3.9
4.2
41.21
9.67
mg/mmol
0.59
23
160
11
72
1.62
0.63
1.2
1.3
—
—
—
0
0
0
20
0.00
0.61
0.0
1.3
—
—
—
0
0
61
561
1.53
0.61
26.1
19.1
28.59
27.65
mg/l
0.09
55
468
0
23
0.00
0.59
0.0
5.2
—
—
—
0
0
6
37
1.68
0.57
4.0
3.7
19.73
5469.94
u/ml
—
6
32
9
62
1.51
0.56
7.3
8.2
—
—
—
0
0
9
64
1.46
0.54
1.2
1.3
—
—
—
0
0
48
430
1.34
0.51
41.4
25.9
329.52
331.42
g/l
0.89
48
430
23
185
1.36
0.50
3.8
3.8
—
—
—
0
0
5
31
1.66
0.44
1.0
1.4
—
—
—
0
0
8
57
1.45
0.44
1.6
2.2
—
—
—
0
0
27
227
1.30
0.43
1.9
2.2
—
—
—
0
0
34
295
1.29
0.43
2.7
2.2
79.25
93.78
pmol/l
1.28
20
146
5
32
1.60
0.43
1.8
3.7
—
—
—
0
0
0
15
0.00
0.41
0.0
3.3
—
1.20
—
0
15
0
15
0.00
0.41
0.0
1.3
—
—
—
0
0
0
15
0.00
0.41
0.0
3.3
—
108.13
—
0
15
0
15
0.00
0.41
0.0
3.3
—
3.87
—
0
15
0
17
0.00
0.41
0.0
1.1
—
—
—
0
0
0
17
0.00
0.41
0.0
1.2
—
—
—
0
0
0
18
0.00
0.40
0.0
2.5
—
11.85
—
0
18
58
542
1.34
0.39
4.7
5.7
1.52
1.45
mmol/l
0.52
53
485
5
36
1.42
0.39
3.2
4.2
37.12
36.99
°c
—
5
36
56
522
1.31
0.38
4.0
4.7
1.09
1.26
mmol/l
2.03
50
466
6
41
1.50
0.37
2.3
3.2
0.92
1.17
%
—
6
41
6
41
1.50
0.37
2.7
3.2
0.82
0.68
%
—
6
41
23
195
1.26
0.34
2.5
2.5
—
—
—
0
0
6
46
1.33
0.34
10.0
6.9
25.45
24.53
mmol/l
—
6
46
6
46
1.33
0.34
1.3
1.6
—
—
—
0
0
7
99
0.68
0.33
3.1
2.2
—
—
—
0
0
26
226
1.23
0.31
4.6
3.0
2.35
2.35
mmol/l
0.04
26
202
5
73
0.66
0.27
1.0
1.8
—
—
—
0
0
25
221
1.20
0.24
4.2
3.4
—
—
—
0
0
29
261
1.18
0.23
3.9
4.4
213.22
82.84
e6/l
0.48
16
188
30
271
1.18
0.23
15.6
14.0
0.00
0.00
e9/l
0.71
22
221
12
144
0.80
0.22
6.4
2.7
2.55
2.47
mmol/l
1.10
12
126
5
42
1.20
0.22
1.6
1.2
—
—
—
0
0
0
10
0.00
0.21
0.0
1.2
—
—
—
0
0
0
10
0.00
0.21
0.0
4.2
—
—
—
0
0
0
10
0.00
0.21
0.0
1.2
—
—
—
0
0
0
12
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
3.3
—
—
—
0
0
57
546
1.20
0.20
4.8
5.7
4.32
4.42
mmol/l
0.32
52
494
21
186
1.18
0.20
2.5
3.5
—
—
estimate
—
0
0
7
57
1.25
0.19
4.1
3.6
—
—
—
0
0
15
129
1.20
0.19
2.9
2.6
0.83
0.81
mmol/l
0.23
15
121
5
66
0.74
0.18
1.0
1.6
—
—
—
0
0
26
239
1.14
0.15
3.3
3.5
17.41
45.19
e6/l
0.98
16
188
12
105
1.17
0.12
6.6
5.8
102.42
104.20
mmol/l
0.49
12
105
12
107
1.15
0.09
1.5
1.4
36.16
35.18
iu/ml
—
5
39
5
60
0.82
0.08
2.2
2.0
—
0.00
estimate
—
0
15
13
119
1.11
0.06
1.5
1.3
1.10
1.31
u/ml
—
6
31
18
189
0.94
0.03
9.4
6.2
—
—
—
0
0
13
138
0.93
0.03
1.2
1.4
—
—
—
0
0
10
98
1.02
0.00
1.1
1.3
—
—
—
0
0
17
168
1.02
0.00
3.2
3.9
—
0.33
—
0
6
20
205
0.97
0.00
3.1
3.5
0.06
0.34
e6/l
2.43
11
156
5
55
0.90
0.00
1.0
1.6
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.2
—
322.20
—
0
5
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.6
—
47.60
—
0
5
0
7
0.00
-0.00
0.0
2.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.2
—
1.86
—
0
5
0
5
0.00
-0.00
0.0
1.2
—
6.20
—
0
5
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
9.64
—
0
5
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
5.0
—
58.20
—
0
5
0
7
0.00
-0.00
0.0
2.0
—
0.91
—
0
7
0
9
0.00
-0.00
0.0
2.0
—
10.52
—
0
9
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
2.2
—
16.88
—
0
6
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint L12_PEMPHIKELA and mortality.

Females

Parameter HR [95% CI] p-value
L12_PEMPHIKELA 1.276 [0.98, 1.66] 0.067
Birth year 0.998 [0.99, 1.01] 0.707

During the follow-up period (1.1.1998 — 31.12.2019), 108 out of 247 females with L12_PEMPHIKELA died.

Males

Parameter HR [95% CI] p-value
L12_PEMPHIKELA 1.912 [1.27, 2.89] 0.002
Birth year 0.989 [0.98, 1.0] 0.016

During the follow-up period (1.1.1998 — 31.12.2019), 97 out of 176 males with L12_PEMPHIKELA died.

Mortality risk

Mortality risk for people of age

years, who have L12_PEMPHIKELA.

N-year risk Females Males
1 0.133% 0.453%
5 0.775% 2.226%
10 2.036% 5.532%
15 4.081% 10.457%
20 7.01% 17.319%

Relationships between endpoints

Index endpoint: L12_PEMPHIKELA – Severe bullous disorders, KELA reimbursement

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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