Evidence map›Paper›PMID 27412294›Full record

SynthesisImmunologic research2017

Severe manifestations of autoimmune syndrome induced by adjuvants (Shoenfeld's syndrome).

Luis J Jara, Grettel García-Collinot, Gabriela Medina, Maria Del Pilar Cruz-Dominguez, Olga Vera-Lastra, Rosa A Carranza-Muleiro, Miguel A Saavedra

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Immunologic research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Symptoms of ASIA Syndrome in a Female Patient with Tattoos - A Case Report.Clinical, cosmetic and investigational dermatology · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Hyaluronic Acid Fillers and ASIA Syndrome: Case Studies.Clinical, cosmetic and investigational dermatology · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. 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

7 authors.

Luis J JaraDirection of Education and Research, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico. luis_jara_quezada@hotmail.com.
Grettel García-CollinotResearch Division, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.
Gabriela MedinaClinical Research Unit, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.
Maria Del Pilar Cruz-DominguezResearch Division, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.
Olga Vera-LastraInternal Medicine Department, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.
Rosa A Carranza-MuleiroResearch Division, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.
Miguel A SaavedraRheumatology Department, Hospital de Especialidades Centro Médico Nacional La Raza, IMSS, Seris/Zaachila S/N, Colonia La Raza, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) encompassing conditions linked to previous exposure to an adjuvant substance. The clinical picture is very heterogeneous, from mild to severe manifestations, including death. However, the systematic analysis of severe ASIA cases has not been performed. The aim of this study was to systematically review the literature on severe ASIA cases. A systematic review of the literature was performed investigating severe ASIA cases. All publications were identified through PubMed, EMBASE, MEDLINE and Cochrane. Articles published from 2011 to 2016 were included. Severe ASIA was arbitrarily defined as follows: major organ involvement, life-threatening conditions, intensive treatment, disability, hospitalization and outcome (survival and death). Cases described before 2011 were excluded. From 2011 to 2016, we identified 4479 ASIA cases, of them 305 fulfilled arbitrary criteria of severe ASIA including our case presentation and 11 deaths. The majority of severe ASIA cases were related to HPV vaccine, silicone, influenza vaccine and mineral oil injections. The interval from exposition to severe manifestation was from 2 days to 23 years. (1) This is the first study that analyzes all cases published on ASIA with severe manifestations. (2) The current HPV vaccine is both effective and generally safe. However, it should be noted that severe autoimmune side effects have been reported in several studies. Severe ASIA may be observed after influenza vaccines, and other vaccines. (3) Efforts should be made to discover the connection between adjuvants, autoimmunity and autoimmune diseases, because there is an increase in cases severe and life-threatening of ASIA.

Indexed as

Adjuvants, PharmaceuticAutoimmune DiseasesHumansSyndromeAdjuvants, PharmaceuticAutoimmune syndrome induced by adjuvantsHPV vaccinesMineral oil injectionSevere ASIASilicone breast implants

Identifiers

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.