Evidence map›Paper›PMID 29165802›Full record

ArticleInternational journal of dermatology2018

Treatment of severe drug reactions by hemodialysis.

Rokea A El-Azhary, Michael Z Wang, Ashley B Wentworth, LaTonya J Hickson

Abstract readCase Reports
In one paragraph

Article in International journal of dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Current Perspectives on Severe Drug Eruption.Clinical reviews in allergy & immunology · 2021
    Review
  4. Review
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 2 institutions in 1 country.

Rokea A El-AzharyDepartment of Dermatology, Mayo Clinic, Rochester, MN, USA.
Michael Z WangDepartment of Dermatology, Mayo Clinic, Rochester, MN, USA.
Ashley B WentworthDepartment of Dermatology, Mayo Clinic, Rochester, MN, USA.
LaTonya J HicksonDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

Mesenchymal stem cell senescence in diabetic nephropathy (K23 COVID Admin Supplement)K23DK109134 · NIDDK · MAYO CLINIC ROCHESTER · PI HICKSON, LATONYA J · 2016 to 2021
$1.0M
NIDDK NIH HHS K23 DK109134
6 · The paper itself

Abstract

backgroundExtracorporeal treatments such as hemodialysis and plasma exchange are lifesaving measures in the treatment of drug poisoning. This treatment method generally is not used for severe cutaneous and systemic drug reactions.

methodsHere, we describe three cases wherein hemodialysis therapy was instrumental in reversing the adverse drug reaction.

resultsIn the cases of severe cutaneous drug reactions reviewed, patients presented with linear immunoglobulin A bullous dermatosis, acute generalized exanthematous pustulosis, and toxic epidermal necrolysis. Salvage treatment with hemodialysis therapy drastically influenced the course of disease, resulting in remission.

conclusionsThis novel and highly effective treatment option is not considered in current algorithms for adverse drug reactions. Hence, in addition to the rarity of these reactions, the main limitation of the study is the small number of patients. Hemodialysis can substantially alter the prognosis and, in some cases, be a lifesaving treatment for patients with severe adverse cutaneous drug reaction associated with systemic toxicity.

Indexed as

Renal DialysisAcute Generalized Exanthematous PustulosisAgedFemaleHumansMaleMiddle AgedSalvage TherapySkin Diseases, VesiculobullousStevens-Johnson Syndrome

Identifiers

PMID29165802
PMCPMC5774656
OpenAlexW2768656375

What OpenQuestion holds

Textmetadata
LicenceTDM
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.