Evidence map›Paper›PMID 26057570›Full record

ArticleThe American journal of case reports2015

Successful Combination Therapy with Rituximab and Glucocorticoids for Autoimmune Optic Neuropathy.

Shoichi Sasaki, Daisuke Asahara, Kaichi Kaneko, Satoru Komatsumoto

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 99% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 1 institution in 1 country.

Shoichi SasakiDepartment of Internal Medicine, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Daisuke AsaharaDepartment of Ophthalmology, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Kaichi KanekoDepartment of Internal Medicine, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Satoru KomatsumotoDepartment of Internal Medicine, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Ashikaga Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune optic neuropathy is optic neuropathy caused by an autoimmune mechanism. As treatment, steroid is usually used. If steroid is ineffective to improve visual function, other immunosuppressive agents are used as needed. Rituximab is one of molecular target agents and is now used as treatment for several types of autoimmune disorders. CASE REPORT: A 77-year-old woman presented with vision loss in her left eye. Her past medical history included disturbances of multiple organs. Laboratory tests revealed positive myeloperoxidase-anti-neutrophil cytoplasmic antibody. We assumed that her vision loss was caused by autoimmune optic neuropathy and put her on high-dose glucocorticoid therapy. Her visual function quickly re-deteriorated after high-dose glucocorticoid therapy discontinuation. To achieve vision improvement, we added rituximab to her treatment regimen. Her visual acuity recovered to almost 20/20 within a week later. She received other 3 rituximab-infusions and her visual acuity remained 20/20 while tapering glucocorticoid.

conclusionsAutoimmune optic neuropathy may result in blindness if treatment fails. Rituximab may be a therapeutic option for autoimmune optic neuropathy and may produce immediate response.

Indexed as

AgedAutoimmune DiseasesDrug Therapy, CombinationFemaleGlucocorticoidsHumansImmunologic FactorsOptic Nerve DiseasesRituximabTomography, X-Ray ComputedVisual AcuityGlucocorticoidsImmunologic FactorsRituximab

Identifiers

PMID26057570
PMCPMC4463999
OpenAlexW648878555

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.