Evidence map›Paper›PMID 21702023›Full record

ArticleArthritis and rheumatism2011

Post-epidemic eosinophilia-myalgia syndrome associated with L-tryptophan.

Jeffrey A Allen, Alicia Peterson, Robert Sufit, Monique E Hinchcliff, J Matthew Mahoney, Tammara A Wood, Frederick W Miller, Michael L Whitfield, John Varga

Open access · greenAbstract readCase Reports
In one paragraph

Article in Arthritis and rheumatism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Eosinophilic fasciitis.Medicina clinica · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Melatonin Use in Pediatrics: Evaluating the Discrepancy in Evidence Based on Country and Regulations Regarding Production.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Review
  15. Review
  16. Review
  17. Risk factors and disease mechanisms in myositis.Nature reviews. Rheumatology · 2018
    Review
  18. Review
  19. Morphea and Eosinophilic Fasciitis: An Update.American journal of clinical dermatology · 2017
    Review
  20. 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

9 authors at 4 institutions in 2 countries.

Jeffrey A AllenNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Alicia Peterson
Robert Sufit
Monique E Hinchcliff
J Matthew Mahoney
Tammara A Wood
Frederick W Miller
Michael L Whitfield
John Varga
Northwestern University · USDartmouth College · USDartmouth Hospital · GBNational Institutes of Health · US

Funding

Environmental/genetic Risk Factors and Pathogenesis of Autoimmune DiseaseZIAES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$34.6M
REGULATION OF COLLAGEN GENE EXPRESSION BY TGF-BETAR01AR042309 · NIAMS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI VARGA, JOHN · 1994 to 2014
$4.4M
Fibroblast TGF-beta/Smad Signaling in SclerodermaR01AR049025 · NIAMS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI VARGA, JOHN · 2002 to 2012
$3.7M
Training Program for Quantitative Population Sciences in CancerR25CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2009 to 2018
$3.0M
Pathogenesis And Genetic/environmental Risk Factors ForZ01ES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MILLER, FREDERICK · 2002 to 2008
$2.7M
Development of RIP-Chip methods and tiled arrays to identify functional elementsR01HG004499 · NHGRI · DARTMOUTH COLLEGE · PI WHITFIELD, MICHAEL L · 2008 to 2010
$1.1M
Microarray biomarkers of disease activity and progression in systemic sclerosisU01AR055063 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAFYATIS, ROBERT A. · 2007 to 2009
$639k
Aberrant TLR responses driving organ fibrosis in systemic sclerosisR56AR042309 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI VARGA, JOHN · 2018 to 2018
$477k
Intramural NIH HHS Z01 ES101074NCI NIH HHS R01-CA-077485NCI NIH HHS R25 CA134286NCI NIH HHS R25-CA-134286NHGRI NIH HHS R01 HG004499NHGRI NIH HHS R01-HG-004499NIAMS NIH HHS AR-42309NIAMS NIH HHS R01 AR042309NIAMS NIH HHS R01 AR049025NIAMS NIH HHS R56 AR042309NIAMS NIH HHS U01 AR055063NIAMS NIH HHS U01-AR-055063NIEHS NIH HHS Z01-ES-101074
6 · The paper itself

Abstract

Eosinophilia-myalgia syndrome (EMS) is characterized by subacute onset of myalgias and peripheral eosinophilia, followed by chronic neuropathy and skin induration. An epidemic of EMS in 1989 was linked to consumption of L-tryptophan that had originated from a single source. Following the ban by the Food and Drug Administration (FDA) on the sale of L-tryptophan, the incidence of EMS declined rapidly. Moreover, no new cases have been described since the FDA ban was lifted in 2005. We report the clinical, histopathologic, and immunogenetic features of a new case of L-tryptophan-associated EMS, along with evidence of activated transforming growth factor β and interleukin-4 signaling in the lesional skin.

Indexed as

AdultEosinophilia-Myalgia SyndromeFemaleHumansTryptophanTryptophan

Identifiers

PMID21702023
PMCPMC3848710
OpenAlexW2115702943

What OpenQuestion holds

Textmetadata
LicenceTDM
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.