Evidence map›Paper›PMID 27843612›Full record

ArticleESMO open2016

TKI-induced pure red cell aplasia: first case report of pure red cell aplasia with both imatinib and nilotinib.

Bishesh Sharma Poudyal, Sampurna Tuladhar, Bishal Gyawali

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

3 authors at 2 institutions in 1 country.

Bishesh Sharma PoudyalClinical Haematology and Bone Marrow Transplant Unit, Civil Service Hospital, Kathmandu, Nepal; Department of Haemato-Oncology, Nobel Hospital, Kathmandu, Nepal.
Sampurna TuladharDepartment of Pathology , Civil Service Hospital , Kathmandu , Nepal.
Bishal GyawaliDepartment of Haemato-Oncology , Nobel Hospital , Kathmandu , Nepal.
Civil Service Hospital · NPNobel Academy · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine-kinase inhibitors (TKIs) represent the only hopes for long-term survival for patients with chronic myeloid leukaemia (CML) and gastrointestinal stromal tumours. Thus, uninterrupted use of TKIs is of importance in such patients. Pure red cell aplasia (PRCA) is a rare disorder, not previously known to be associated with TKIs. We present, to the best of our knowledge, the first case of a patient with CML who developed PRCA secondary to both imatinib and nilotinib. Although PRCA was controlled on withdrawal of TKI, TKI continuation in the patient with CML is important. So we treated him with prednisone, but his haemoglobin started to drop on resumption of imatinib. He was changed to nilotinib but again developed PRCA, which did not improve with steroids. We treated him with cyclosporine and were able to reintroduce nilotinib at a reduced dose without further complications. This case report makes physicians aware of this rare complication of TKIs and also provides encouragement that PRCA could be controlled and TKI continued.

Indexed as

chronic myeloid leukemiagastrointestinal stromal tumorsimatinibpure red cell aplasiatyrosine kinase inhibitors

Identifiers

PMID27843612
PMCPMC5070250
OpenAlexW2401575405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.