Evidence map›Paper›PMID 21058909›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2010

Complications of tumor necrosis factor-α blockade in chronic granulomatous disease-related colitis.

Gulbu Uzel, Jordan S Orange, Nina Poliak, Beatriz E Marciano, Theo Heller, Steven M Holland

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of Monogenic Inflammatory Bowel Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. How I Treat: Chronic granulomatous disease.Journal of human immunity · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Monogenic inflammatory bowel disease: An unfolding enigma.World journal of clinical pediatrics · 2025
    Review
  13. Article
  14. The Role of NADPH Oxidase 2 in Leukocytes.Antioxidants (Basel, Switzerland) · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

26 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Gulbu UzelLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA. guzel@mail.nih.gov
Jordan S Orange
Nina Poliak
Beatriz E Marciano
Theo Heller
Steven M Holland
National Institutes of Health Clinical Center · USUniversity of Pennsylvania · USNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · US

Funding

Transgenic Animal Models Of Human Immune DefectsZIAAI000646 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOLLAND, STEVEN · 2009 to 2025
$22.2M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundChronic granulomatous disease (CGD) is a genetic disorder of the phagocyte NADPH oxidase, which predisposes patients to infections and inflammatory complications, including severe colitis. Management of CGD colitis is a challenge because standard immunosuppressive therapy increases the risk of infection in already immunocompromised hosts.

methodsWe report the use of infliximab in 5 patients with CGD.

resultsInfliximab administration predisposed patients to severe infections with typical CGD pathogens but not mycobacteria, as reported with infliximab in other conditions. In addition to infections, infliximab administration led to successful closure of fistulae, sometimes with other untoward consequences. Infliximab-associated complications were associated with 2 deaths.

conclusionsInfliximab use in the treatment of CGD inflammatory bowel disease requires aggressive antimicrobial prophylaxis, assiduous surveillance for infection, and vigilance for untoward gastrointestinal complications. This experience suggests that infliximab therapy is effective but has untoward consequences in patients with CGD.

Indexed as

AdolescentAdultAntibodies, MonoclonalBacterial InfectionsColitisFemaleGranulomatous Disease, ChronicHumansImmunologic FactorsInfliximabMaleTumor Necrosis Factor-alphaYoung AdultAntibodies, MonoclonalImmunologic FactorsInfliximabTNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID21058909
PMCPMC3106244
OpenAlexW2126678935

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.