Evidence map›Paper›PMID 24733249›Full record

ArticleClinical rheumatology2015

Paradoxical mucocutaneous flare in a case of Behçet's disease treated with tocilizumab.

Luca Cantarini, Giuseppe Lopalco, Antonio Vitale, Laura Coladonato, Donato Rigante, Orso Maria Lucherini, Giovanni Lapadula, Florenzo Iannone

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. New insights on multigenic autoinflammatory diseases.Therapeutic advances in musculoskeletal disease · 2022
    Review
  5. Neutrophilic Dermatoses: a Clinical Update.Current dermatology reports · 2022
    Review
  6. Biologic treatments in Behçet's disease.European journal of rheumatology · 2021
    Article
  7. Recent Insights into the Management of Behçet Syndrome.Journal of inflammation research · 2021
    Review
  8. Review
  9. Behçet's Disease in Children: Diagnostic and Management Challenges.Therapeutics and clinical risk management · 2020
    Review
  10. Update on the treatment of Behçet's syndrome.Internal and emergency medicine · 2019
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Observational
  19. Review
  20. 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

8 authors at 3 institutions in 1 country.

Luca CantariniResearch Center of Systemic Autoimmune and Autoinflammatory Diseases, Rheumatology Unit, Policlinico Le Scotte, University of Siena, Siena, Italy, cantariniluca@hotmail.com.
Giuseppe Lopalco
Antonio Vitale
Laura Coladonato
Donato Rigante
Orso Maria Lucherini
Giovanni Lapadula
Florenzo Iannone
University of Bari Aldo Moro · ITUniversity of Siena · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on a patient with a long-standing history of recurrent oral aphthosis and pseudofolliculitis, diagnosed with Behçet's disease (BD), previously treated with high-dose prednisone, colchicine, cyclosporine, cyclophosphamide and methotrexate, all of which were partially effective. Treatment with the chimeric mouse-human anti-tumour necrosis factor (TNF)-α monoclonal antibody infliximab brought about the resolution of mucocutaneous lesions for a period of 6 years. After an oral and articular BD relapse, the anti-interleukin-6 agent tocilizumab was started in association with high-dose prednisone. Unexpectedly, the patient experienced a paradoxical mucocutaneous flare following tocilizumab administration, which worsened after the second infusion. Tocilizumab was then discontinued, and total recovery was achieved after the patient was started on the fully human anti-TNF-α monoclonal antibody golimumab in association with colchicine and methylprednisolone.

Indexed as

AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntirheumatic AgentsBehcet SyndromeDisease ProgressionDrug EruptionsFemaleGlucocorticoidsHumansMethylprednisoloneRecurrenceStomatitis, AphthousAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntirheumatic AgentsGlucocorticoidsgolimumabMethylprednisolonetocilizumab

Identifiers

PMID24733249
OpenAlexW2049882606

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.