Evidence map›Paper›PMID 26150206›Full record

ReviewAnnals of neurology2015

Progressive neurologic dysfunction in a psoriasis patient treated with dimethyl fumarate.

Thorsten Bartsch, Torge Rempe, Arne Wrede, Frank Leypoldt, Wolfgang Brück, Ortwin Adams, Axel Rohr, Olav Jansen, Christian Wüthrich, Günther Deuschl and 1 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Annals of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.6field-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

23 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Fumaric acid ester-induced T-cell lymphopenia in the real-life treatment of psoriasis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2019
    Observational
  5. Oral Therapies for Multiple Sclerosis.Cold Spring Harbor perspectives in medicine · 2019
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Diagnostic delay in progressive multifocal leukoencephalopathy.Annals of clinical and translational neurology · 2016
    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

11 authors at 5 institutions in 2 countries.

Thorsten BartschDepartment of Neurology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Torge RempeDepartment of Neurology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Arne WredeInstitute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany.
Frank LeypoldtDepartment of Neurology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Wolfgang BrückInstitute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany.
Ortwin AdamsInstitute for Virology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Axel RohrDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Olav JansenDepartment of Radiology and Neuroradiology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Christian WüthrichDivision of Neuroimmunology, Department of Neurology, Center for Virology and Vaccine Research, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Günther DeuschlDepartment of Neurology, University Hospital of Schleswig-Holstein, Kiel, Germany.
Igor J KoralnikDivision of Neuroimmunology, Department of Neurology, Center for Virology and Vaccine Research, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
University of Lübeck · DEBeth Israel Deaconess Medical Center · USUniversitätsmedizin Göttingen · DEUniversity Hospital Schleswig-Holstein · DEHeinrich Heine University Düsseldorf · DE

Funding

Role of Inflammation in Progressive Multifocal LeukoencephalopathyR01NS047029 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI KORALNIK, IGOR J. · 2004 to 2018
$6.4M
Pathogenesis of a JC Virus Variant in Pyramidal NeuronsR01NS074995 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI KORALNIK, IGOR J. · 2012 to 2016
$1.8M
NINDS NIH HHS NS 074995NINDS NIH HHS R01 NS 047029NINDS NIH HHS R01 NS047029NINDS NIH HHS R01 NS074995
6 · The paper itself

Abstract

Progressive multifocal leukoencephalopathy (PML) has recently been described in psoriasis or multiple sclerosis patients treated with fumaric acid esters (fumarates), who had developed severe and long-standing lymphocytopenia (<500/mm(3) ). We report a psoriasis patient who presented with progressive neurologic dysfunction and seizures after 2.5 years of fumarate therapy. Despite absolute lymphocyte counts remaining between 500-1000/mm(3) , his CD4(+) and CD8(+) T-cell counts were markedly low. MRI showed right hemispheric and brainstem lesions and JC virus DNA was undetectable in his cerebrospinal fluid. Brain biopsy revealed typical features of PML as well as JC virus-infected neurons. Clinicians should consider PML in the differential diagnosis of fumarate-treated patients presenting with brain lesions or seizures even in the absence of severe lymphocytopenia.

Indexed as

Disease ProgressionAgedDermatologic AgentsDimethyl FumarateFollow-Up StudiesHumansLeukoencephalopathy, Progressive MultifocalMalePsoriasisDermatologic AgentsDimethyl Fumarate

Identifiers

PMID26150206
PMCPMC4926166
OpenAlexW1570676254

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.