Evidence map›Paper›PMID 26543549›Full record

ArticleJournal of diabetes investigation2015

Efficacy of oral glucocorticoid and cyclosporine in a case of rituximab-refractory type B insulin resistance syndrome.

Masahiro Takei, Hiroaki Ishii, Yuko Kawai, Kosuke Kato, Takashi Sekido, Yoshihiko Sato, Teiji Takeda, Mitsuhisa Komatsu

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Type B insulin resistance syndrome: a systematic review.Archives of endocrinology and metabolism · 2020
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. A case of type B insulin resistance syndrome treated with low-dose glucocorticoids.Endocrinology, diabetes & metabolism case reports · 2019
    Article
  8. Article
  9. 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

8 authors at 1 institution in 1 country.

Masahiro TakeiDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Hiroaki IshiiDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Yuko KawaiDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Kosuke KatoDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Takashi SekidoDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Yoshihiko SatoDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Teiji TakedaDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Mitsuhisa KomatsuDivision of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, Shinshu University School of Medicine Matsumoto, Nagano, Japan.
Shinshu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a case of type B insulin resistance syndrome associated with systemic lupus erythematosus (SLE) that was refractory to rituximab and successfully treated with a combination of oral glucocorticoids and cyclosporine. Prior to treatment, insulin resistance was severe, and application of a hyperinsulinemic euglycemic clamp was not possible despite the continuous intravenous infusion of insulin at a maximum rate of 9.0 mU/kg/min. The addition of cyclosporine to oral glucocorticoid therapy resulted in remission of insulin resistance. The combination of oral prednisolone and cyclosporine might be effective in treating type B insulin resistance syndrome, particularly in rituximab-resistant cases. However, nephrotoxicity is a particular concern for patients receiving long-term cyclosporine therapy.

Indexed as

CyclosporineSystemic lupus erythematosusType B insulin resistance syndrome

Identifiers

PMID26543549
PMCPMC4627552
OpenAlexW1984235508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.