Evidence map›Paper›PMID 28827301›Full record

ArticleBMJ case reports2017

Novel use of rituximab in macrophage activation syndrome secondary to systemic lupus erythematosus.

Zachary Junga, Rodger Stitt, Christopher Tracy, Michael Keith

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
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  8. Review
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  11. Article
  12. Macrophage Activation Syndrome in Adults: A Retrospective Case Series.Journal of investigative medicine high impact case reports
    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

4 authors at 1 institution in 1 country.

Zachary JungaDepartment of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-3832-2852
Rodger StittDepartment of Rheumatology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Christopher TracyDepartment of Rheumatology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Michael KeithDepartment of Rheumatology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Walter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Macrophage activation syndrome (MAS) is a rare disease characterised by aberrant immune hyperactivation of T lymphocytes and macrophages driven by cytokine dysfunction. The HLH-2004 protocol is commonly used for the treatment of MAS, but significant toxicities are associated. We describe a case of MAS secondary to systemic lupus erythematosus in a young female that responded well to rituximab in lieu of etoposide. She continues to be in remission 1 year following the completion of rituximab infusion and is maintained on hydroxychloroquine. This case highlights the need for further research on the use of rituximab and other available biologics in the setting of MAS in order to help guide further alternative treatment decisions.

Indexed as

Antineoplastic Agents, ImmunologicalAntirheumatic AgentsDiagnosis, DifferentialEtoposideFemaleHumansHydroxychloroquineInfusions, IntravenousLupus Erythematosus, SystemicMacrophage Activation SyndromeRare DiseasesRituximabTreatment OutcomeYoung AdultAntineoplastic Agents, ImmunologicalAntirheumatic AgentsEtoposideHydroxychloroquineRituximabbiological agentssystemic lupus erythematosus

Identifiers

PMID28827301
PMCPMC5624074
OpenAlexW2748108003

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.