Evidence map›Paper›PMID 24262781›Full record

ArticleAmerican journal of ophthalmology2014

Clinical manifestations of patients with intraocular inflammation and positive QuantiFERON-TB gold in-tube test in a country nonendemic for tuberculosis.

Rina La Distia Nora, Mirjam E J van Velthoven, Ninette H Ten Dam-van Loon, Tom Misotten, Marleen Bakker, Martin P van Hagen, Aniki Rothova

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Classification Criteria for Tubercular Uveitis.American journal of ophthalmology · 2021
    Article
  9. Classification Criteria for Sarcoidosis-Associated Uveitis.American journal of ophthalmology · 2021
    Article
  10. Immune Privilege: The Microbiome and Uveitis.Frontiers in immunology · 2020
    Review
  11. Article
  12. Paradoxical reactions in ocular tuberculosis.Journal of ophthalmic inflammation and infection · 2019
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Rina La Distia NoraDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Mirjam E J van VelthovenRotterdam Eye Hospital, Rotterdam, Netherlands.
Ninette H Ten Dam-van LoonDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht, Netherlands.
Tom MisottenRotterdam Eye Hospital, Rotterdam, Netherlands.
Marleen BakkerDepartment of Pulmonary Diseases, Erasmus Medical Center, Rotterdam, Netherlands.
Martin P van HagenDepartment of Clinical Immunology, Erasmus Medical Center, Rotterdam, Netherlands.
Aniki RothovaDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Ophthalmology, University Medical Center Utrecht, Utrecht, Netherlands. Electronic address: a.rothova@erasmusmc.nl.
Erasmus MC · NLRotterdam Eye Hospital · NLUniversity Medical Center Utrecht · NLUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate clinical manifestations of patients with uveitis and scleritis of unknown origin and positive QuantiFERON-TB Gold In-Tube test (quantiferon) in a country not endemic for tuberculosis.

designMulticenter retrospective cohort study.

methodsRetrospective review of the clinical, laboratory, and imaging data of 77 patients. Main outcome measures consisted of ocular and systemic features as well as results of laboratory examinations.

resultsOut of all, 60 of 71 (85%) were living for at least 6 months in tuberculosis-endemic regions. Location of uveitis was variable; posterior uveitis (29/77; 38%) was the most frequent. Two clinical entities were commonly noted: retinal occlusive vasculitis (21/77; 27%) and serpiginoid choroiditis (11/77; 14%). Antituberculosis treatment was completed in 32 patients; 29 of them (91%) achieved complete remission. Mean quantiferon level was 7.5 U/mL; 71% had values above 2 U/mL and 41% above 10 U/mL. We observed no associations between quantiferon levels and clinical and/or imaging features. Previous tuberculosis infection was diagnosed in 5 of 77 patients (6.5%), while hilar/mediastinal lymphadenopathy was found in 25 of 76 patients (33%). Of these, 12 were consistent with the diagnosis of sarcoidosis, 9 were typical for (prior) tuberculosis, and 4 were compatible with both diagnoses.

conclusionsOcular features of patients with idiopathic uveitis and positive quantiferon were diverse, but retinal occlusive vasculitis and serpiginoid choroiditis were common. The quantiferon levels were usually highly elevated and 33% of patients exhibited lymphadenopathy, suggesting frequently the diagnosis of sarcoidosis. Ocular inflammation reacted favorably to antituberculosis treatment, although only a small minority had documented (prior) tuberculosis.

Indexed as

Interferon-gamma Release TestsAdultAntitubercular AgentsChoroiditisEndemic DiseasesFemaleHumansMaleMiddle AgedNetherlandsRetinal VasculitisRetrospective StudiesScleritisTomography, X-Ray ComputedTuberculin TestTuberculosis, OcularAntitubercular Agents

Identifiers

PMID24262781
OpenAlexW2164625752

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.