Evidence map›Paper›PMID 28502946›Full record

ArticleInternal medicine (Tokyo, Japan)2017

Two Cases of Thrombocytopenia, Anasarca, Fever, Reticulin Fibrosis/Renal Failure, and Organomegaly (TAFRO) Syndrome with High Serum Procalcitonin Levels, Including the First Case Complicated with Adrenal Hemorrhaging.

Mizuho Nara, Atsushi Komatsuda, Fumiko Itoh, Hajime Kaga, Masaya Saitoh, Masaru Togashi, Yoshihiro Kameoka, Hideki Wakui, Naoto Takahashi

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. TAFRO Syndrome with Massive Bilateral Adrenal Hemorrhage.Internal medicine (Tokyo, Japan) · 2025
    Article
  4. Review
  5. Review
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  7. Review
  8. Article
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  10. Fatal case of TAFRO syndrome with unilateral adrenal hemorrhage in early-stage disease.Journal of clinical and experimental hematopathology : JCEH · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

9 authors at 1 institution in 1 country.

Mizuho NaraDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Atsushi KomatsudaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Fumiko ItohDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Hajime KagaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Masaya SaitohDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Masaru TogashiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Yoshihiro KameokaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Hideki WakuiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Naoto TakahashiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Japan.
Akita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombocytopenia, Anasarca, Fever, Reticulin fibrosis/Renal failure, and Organomegaly (TAFRO) syndrome is a recently described systemic inflammatory disorder characterized by thrombocytopenia, anasarca, fever, reticulin fibrosis/renal failure, and organomegaly. It has an acute or subacute onset of unknown etiology, although some pathological features resemble those of multicentric Castleman disease. We here report two cases of TAFRO syndrome. The symptoms and pathological findings in these cases met the 2015 diagnostic criteria. Our cases showed high serum procalcitonin levels, suggesting bacterial infection as an onset trigger. In addition, Case 1 is the first case complicated with adrenal hemorrhaging. Case 2 is the second case of tocilizumab-resistant TAFRO syndrome successfully treated with rituximab.

Indexed as

Adrenal Gland DiseasesAdultAntibodies, Monoclonal, HumanizedAsian PeopleCalcitoninEdemaFemaleFeverFibrosisHemorrhageHumansMaleMiddle AgedPOEMS SyndromeRenal InsufficiencyReticulinAntibodies, Monoclonal, HumanizedCalcitoninReticulintocilizumabadrenal hemorrhageCastleman diseaseprocalcitoninrituximabTAFRO syndrome

Identifiers

PMID28502946
PMCPMC5491826
OpenAlexW2613315906

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.