Evidence map›Paper›PMID 27370964›Full record

ArticleClinical rheumatology2016

Granulomatosis with polyangiitis mimicking infective endocarditis in an adolescent male.

Giulia Camilla Varnier, Neil Sebire, Georgi Christov, Despina Eleftheriou, Paul A Brogan

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Analysis of Antineutrophil Cytoplasm Antibody from 118 730 Patients in Tertiary Hospitals in Jiangxi Province, China.Medical science monitor : international medical journal of experimental and clinical research · 2017
    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

5 authors at 3 institutions in 1 country.

Giulia Camilla VarnierDepartment of Rheumatology, Institute of Child Health, Great Ormond Street Hospital, 30 Guilford Street, London, WC1N 1EH, UK. giuliavarnier@yahoo.it.
Neil SebireUCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Georgi ChristovUCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Despina EleftheriouUCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Paul A BroganUCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK.
University College London · GBGreat Ormond Street Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Granulomatosis with polyangiitis (GPA) is a rare but serious small vessel vasculitis with heterogeneous clinical presentation ranging from mainly localised disease with a chronic course, to a florid, acute small vessel vasculitic form characterised by severe pulmonary haemorrhage and/or rapidly progressive vasculitis or other severe systemic vasculitic manifestations. Cardiac involvement is, however, uncommon in the paediatric population. We report a case of a 16-year-old male who presented with peripheral gangrene and vegetation with unusual location on the supporting apparatus of the tricuspid valve, initially considered to have infective endocarditis but ultimately diagnosed with GPA. We provide an overview of the limited literature relating to cardiac involvement in GPA, and the diagnostic challenge relating to infective endocarditis in this context, especially focusing on the interpretation of the antineutrophil cytoplasmic antibody (ANCA) and the characteristic clinical features to identify in order to promptly recognise GPA, since timely diagnosis and treatment are essential for this potentially life-threatening condition.

Indexed as

AdolescentAntibodies, Antineutrophil CytoplasmicCombined Modality TherapyDiagnosis, DifferentialDrug Therapy, CombinationEndocarditisGranulomatosis with PolyangiitisHumansImmunosuppressive AgentsMaleMethylprednisoloneMyeloblastinPlasma ExchangePrednisoneRituximabTreatment OutcomeAntibodies, Antineutrophil CytoplasmicImmunosuppressive AgentsMethylprednisoloneMyeloblastinPrednisoneRituximabAdolescentANCA-associated vasculitisGranulomatosis with polyangiitisInfective endocarditis

Identifiers

PMID27370964
OpenAlexW2473774712

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.