Evidence map›Paper›PMID 29279512›Full record

ArticleInternal medicine (Tokyo, Japan)2018

Bilateral Adrenal Hemorrhage in a Patient with Antiphospholipid Syndrome during Chronic Graft-versus-host Disease.

Mariko Minami, Tsuyoshi Muta, Masahiro Adachi, Masakazu Higuchi, Kenichi Aoki, Ryosuke Ogawa

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Mariko MinamiDepartment of Hematology/Oncology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.
Tsuyoshi MutaDepartment of Hematology/Oncology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.
Masahiro AdachiDepartment of Endocrinology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.
Masakazu HiguchiDepartment of Hematology, JR Kyushu Hospital, Japan.
Kenichi AokiDepartment of Hematology/Oncology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.
Ryosuke OgawaDepartment of Hematology/Oncology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.
Kyushu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 56-year-old man with an upper respiratory infection followed by fatigue, hypotension, and hyponatremia. Bilateral adrenal hemorrhage was confirmed, based on T2-weighted magnetic resonance imaging. The patient had previously undergone allogeneic hematopoietic stem cell transplantation and had been diagnosed with antiphospholipid syndrome (APS) during the development of chronic graft-versus-host disease. A prompt diagnosis and steroid replacement, in addition to anticoagulant therapy, resulted in a favorable outcome. Once the diagnosis of APS has been confirmed, which might be the sign of bilateral adrenal hemorrhage, the initial manifestations of adrenal insufficiency should never be overlooked.

Indexed as

Adrenal Gland DiseasesAdrenal InsufficiencyAnticoagulantsAntiphospholipid SyndromeFatigueGraft vs Host DiseaseHemorrhageHumansHyponatremiaHypotensionMagnetic Resonance ImagingMaleMiddle AgedRespiratory Tract InfectionsAnticoagulantsadrenal hemorrhageantiphospholipid antibody syndromegraft-versus-host disease

Identifiers

PMID29279512
PMCPMC5995706
OpenAlexW2779739178

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.