Evidence map›Paper›PMID 25855481›Full record

ArticleJournal of general internal medicine2015

An Unusual Case of Statin-Induced Myopathy: Anti-HMGCoA Necrotizing Autoimmune Myopathy.

Laura Nichols, Kurt Pfeifer, Andrew L Mammen, Nazima Shahnoor, Chamindra G Konersman

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
  5. [Anti-HMGCR immune-mediated necrotizing myopathy: A case report].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
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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

5 authors at 3 institutions in 1 country.

Laura NicholsDepartment of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. lnichols@mcw.edu.
Kurt PfeiferDepartment of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Andrew L MammenDepartment of Neurology, Johns Hopkins University School of Medicine Baltimore, Baltimore, MD, USA.
Nazima ShahnoorDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Chamindra G KonersmanDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USUniversity of California, San Diego · US

Funding

Muscle Disease UnitZIAAR041203 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI MAMMEN, ANDREW · 2015 to 2025
$19.7M
6 · The paper itself

Abstract

Statins are some of the most widely prescribed medications, and though generally well tolerated, can lead to a self-limited myopathy in a minority of patients. Recently, these medications have been associated with a necrotizing autoimmune myopathy (NAM). Statin-associated NAM is characterized by irritable myopathy on electromyography (EMG) and muscle necrosis with minimal inflammation on muscle biopsy. The case presented is a 63-year-old woman who has continued elevation of creatine kinase (CK) after discontinuation of statin therapy. She has irritable myopathy on EMG and NAM is confirmed by muscle biopsy. She subsequently tests positive for an experimental anti-3-hydroxy-3-methylglutaryl-coenzyme A (anti-HMGCoA) antibody that is found to be present in patients with statin-associated NAM. Though statin-associated NAM is a relatively rare entity, it is an important consideration for the general internist in patients who continue to have CK elevation and weakness after discontinuation of statin therapy. Continued research is necessary to better define statin-specific and dose-dependent risk, as well as optimal treatment for this condition.

Indexed as

Acyl Coenzyme AAtorvastatinAutoantibodiesAutoimmune DiseasesCreatine KinaseFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMiddle AgedMuscle, SkeletalMuscular Diseases3-hydroxy-3-methylglutaryl-coenzyme AAcyl Coenzyme AAtorvastatinAutoantibodiesCreatine KinaseHydroxymethylglutaryl-CoA Reductase Inhibitorsanti-HMGCR antibodyidiopathic inflammatory myopathynecrotizing autoimmune myopathystatin

Identifiers

PMID25855481
PMCPMC4636568
OpenAlexW1992953764

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.