Evidence map›Paper›PMID 21886723›Full record

ArticleJournal of dermatological case reports2009

Development of pyoderma gangrenosum during therapy with infliximab.

Natalia Jaimes-López, Verónica Molina, Juan E Arroyave, Luz A Vasquez, Ana C Ruiz, Rodrigo Castaño, Mario H Ruiz

Abstract readCase Reports
In one paragraph

Article in Journal of dermatological case reports, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 39% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. A Case of Paradoxical Reactions to Biologic Therapy for Psoriasis.Clinical, cosmetic and investigational dermatology · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. A Comprehensive Review of Neutrophilic Diseases.Clinical reviews in allergy & immunology · 2018
    Review
  8. Review
  9. Article
  10. A case of atypical pyoderma gangrenosum.Journal of dermatological case reports · 2010
    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

7 authors at 2 institutions in 1 country.

Natalia Jaimes-LópezDermatology Service, Universidad Pontificia Bolivariana. Medellín, Colombia.
Verónica Molina
Juan E Arroyave
Luz A Vasquez
Ana C Ruiz
Rodrigo Castaño
Mario H Ruiz
Hospital Pablo Tobon Uribe · COUniversidad Pontificia Bolivariana · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPyoderma gangrenosum is a rare inflammatory disease of unknown etiology and a poorly understood pathogenesis. Its clinical presentation is variable and a large percentage of cases are associated with inflammatory bowel diseases. Peristomal pyoderma gangrenosum represents a variant of the diseases, occurring in patients with colostomy. Multiple cases demonstrate efficacy of infliximab and other anti-TNF-alpha drugs in treatment of pyoderma gangrenosum. MAIN OBSERVATIONS: A 47-year-old male with ulcerative colitis and proctocolectomy with ileal pouch reconstruction protected by ileostomy in the course of diseases received infliximab therapy together with azathioprine for his inflammatory bowel diseases. Six months after initiation of infliximab therapy the patient developed multiple pyoderma gangrenosum lesions on the trunk, abdomen, genitalia, gluteus, extremities, left preauricular region and peristomal area. After systemic corticosteroid therapy, combined with topical tacrolimus, the lesions slowly improved. Seven months later, during ongoing infliximab therapy, the patient developed a sepsis with fatal outcome.

conclusionConstant trauma generated by colostomy may be a contributing factor to the development and persistence of pyoderma gangrenosum. It may be hypothesized that this patient developed pyoderma gangrenosum despite infliximab or that pyoderma gangrenosum may represent a rare adverse effect of the drug.

Indexed as

adverse effectsbiological productsinflammatory bowel diseases infliximabpyoderma gangrenosumstomaulcerative colitis

Identifiers

PMID21886723
PMCPMC3157791
OpenAlexW2032306536

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.