Evidence map›Paper›PMID 22351821›Full record

ArticleArchives of dermatology2012

Viral-associated trichodysplasia: characterization of a novel polyomavirus infection with therapeutic insights.

Karolyn A Wanat, Phillip D Holler, Tzvete Dentchev, Kenneth Simbiri, Erle Robertson, John T Seykora, Misha Rosenbach

Abstract readCase Reports
In one paragraph

Article in Archives of dermatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-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

14 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Trichodysplasia spinulosa: a comprehensive review of the disease and its treatment.Journal of the European Academy of Dermatology and Venereology : JEADV · 2021
    Review
  4. Facial Spinulate Demodicosis.Clinical, cosmetic and investigational dermatology · 2021
    Article
  5. Article
  6. Article
  7. The Biology and Clinical Features of Cutaneous Polyomaviruses.The Journal of investigative dermatology · 2019
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
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 1 institution in 1 country.

Karolyn A WanatDepartment of Dermatology, University of Pennsylvania, 3600 Spruce St, Second Floor, Maloney Bldg, Philadelphia, PA 19104, USA.
Phillip D Holler
Tzvete Dentchev
Kenneth Simbiri
Erle Robertson
John T Seykora
Misha Rosenbach
University of the Sciences · US

Funding

Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
Understanding molecular mechanisms underlying the formation of the blue nevus andP30AR057217 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI STANLEY, JOHN R · 2009 to 2013
$3.2M
NIAID NIH HHS F32 AI058421NIAMS NIH HHS P30 AR057217NIAMS NIH HHS P30-AR057217NIAMS NIH HHS T32 AR007465
6 · The paper itself

Abstract

backgroundViral-associated trichodysplasia of immunosuppression is a rare cutaneous eruption that is characterized by follicularly based shiny papules and alopecia with characteristic histopathologic findings of abnormally anagen follicules with excessive inner root sheath differentiation. Prior reports have described the histopathologic characteristics on vertical sections; however, to our knowledge, immunohistochemical analysis of polyomavirus proteins has not been previously performed. OBSERVATIONS: We discuss the thorough diagnostic evaluation and therapy of an unusual case of viral-associated trichodysplasia due to a newly described human polyomavirus that occurred in a patient with posttreatment chronic lymphocytic leukemia and an abnormal white blood cell count. Unique to our study is the immunohistochemical staining for the polyomavirus middle T antigen, which demonstrated positive staining of cellular inclusions within keratinocytes that compose the inner root sheath. Further evaluation with scanning electron microscopy and polymerase chain reaction analysis of viral DNA confirmed the presence of the virus. Treatment with topical cidofovir resulted in dramatic clinical improvement and hair regrowth.

conclusionsSeveral tools, including immunohistochemical staining for the polyomavirus middle T antigen, can be used to identify the pathogenic virus associated with viral-associated trichodysplasia. This case highlights the utility of multiple diagnostic modalities and a robust response to a topical therapeutic agent, cidofovir.

Indexed as

Antiviral AgentsCidofovirCytosineDNA, ViralFemaleHair DiseasesHair FollicleHumansMiddle AgedOrganophosphonatesPolyomavirusPolyomavirus InfectionsAntiviral AgentsCidofovirCytosineDNA, ViralOrganophosphonates

Identifiers

PMID22351821
PMCPMC3346264
OpenAlexW1971316084

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.