Evidence map›Paper›PMID 18592135›Full record

ArticleClinical rheumatology2008

Steroid-refractory severe hepatic failure in adult onset Still's disease responding to cyclosporine.

Takao Nagashima, Yoko Aoki, Sachiko Onishi, Masahiro Iwamoto, Hitoaki Okazaki, Seiji Minota

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. The Risk Factors of Refractory Adult-Onset Still's Disease.International journal of hepatology · 2025
    Article
  2. Article
  3. The Use of Cyclosporine A in Rheumatology: a 2016 Comprehensive Review.Clinical reviews in allergy & immunology · 2017
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Takao NagashimaDivision of Rheumatology and Clinical Immunology, Jichi Medical University, Shimotsuke-shi, Tochigi, Japan. naga4ma@jichi.ac.jp
Yoko Aoki
Sachiko Onishi
Masahiro Iwamoto
Hitoaki Okazaki
Seiji Minota
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report two Japanese women with severe hepatic dysfunction and adult onset Still's disease. A 51-year-old woman had been diagnosed with adult onset Still's disease 3 years earlier. She relapsed while on maintenance therapy with prednisolone and methotrexate. After induction of remission with methylprednisolone pulse therapy, indomethacin, and methotrexate, severe hepatic failure occurred. This patient lacked the typical symptoms of adult onset Still's disease. The second patient was a 32-year-old woman with typical adult onset Still's disease. Remission was induced by high-dose prednisolone and methylprednisolone pulse therapy plus cyclosporine. After she stopped cyclosporine, severe liver dysfunction occurred. In both patients, liver dysfunction occurred during high-dose steroid therapy, and oral cyclosporine (3 mg/kg per day) dramatically improved their liver function. When steroid-resistant severe hepatic failure occurs in patients with adult onset Still's disease, cyclosporine may be the immunosuppressant of choice.

Indexed as

AdultCyclosporineEnzyme InhibitorsFemaleHumansLiver Failure, AcuteMiddle AgedSteroidsStill's Disease, Adult-OnsetTreatment FailureCyclosporineEnzyme InhibitorsSteroids

Identifiers

PMID18592135
OpenAlexW2133493873

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.