Evidence map›Paper›PMID 29307643›Full record

ArticleJournal of the American Academy of Dermatology2018

Progression of undiagnosed cutaneous lymphoma after anti-tumor necrosis factor-alpha therapy.

Maria Estela Martinez-Escala, Alba L Posligua, Heather Wickless, Audrey Rutherford, Kimberly A Sable, Belen Rubio-Gonzalez, Xiaolong A Zhou, Jason B Kaplan, Barbara Pro, Jaehyuk Choi and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Academy of Dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Maria Estela Martinez-EscalaDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Alba L PosliguaDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Heather WicklessDepartment of Dermatology, University of Texas Southwestern, Dallas, Texas.
Audrey RutherfordDepartment of Dermatology, University of Texas Southwestern, Dallas, Texas.
Kimberly A SableDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Belen Rubio-GonzalezDivision of Dermatology, City of Hope Comprehensive Cancer Center, Duarte, California; Beckman Research Institute, Duarte, California.
Xiaolong A ZhouDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Jason B KaplanDivision of Hematology/Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois.
Barbara ProDivision of Hematology/Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois.
Jaehyuk ChoiDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Christiane QuerfeldDivision of Dermatology, City of Hope Comprehensive Cancer Center, Duarte, California; Beckman Research Institute, Duarte, California.
Steven T RosenDivision of Dermatology, City of Hope Comprehensive Cancer Center, Duarte, California; Beckman Research Institute, Duarte, California.
Joan GuitartDepartment of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address: j-guitart@northwestern.edu.

Funding

Transforming the diagnosis and care of patients with CTCL using TCR sequencingR01CA203721 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2016 to 2020
$3.4M
NCI NIH HHS R01 CA203721
6 · The paper itself

Abstract

backgroundCutaneous lymphoma diagnosed after anti-tumor necrosis factor-α therapy (anti-TNF-α) has been reported in the literature, yet a clear link between both events remains elusive.

objectiveTo review our experience with cutaneous lymphoma diagnosed during or after the use of anti-TNF-α therapies.

methodsThis is a multicenter retrospective study and a literature review.

resultsA total of 22 cases, including 20 cutaneous T-cell lymphomas (CTCLs) and 2 cutaneous B-cell lymphomas, were identified. In the CTCL group, 75% of the patients received an anti-TNF-α agent for a presumed inflammatory skin condition. Mycosis fungoides and Sézary syndrome were the most common subtypes of CTCL diagnosed. Advanced disease (stage IIB to IVA) was commonly seen at time of diagnosis and required aggressive therapy, including stem cell transplant in 3 patients; 2 patients in whom cutaneous B-cell lymphomas was diagnosed had an indolent course. A total of 31 cases were gathered from a literature search. LIMITATIONS: This is a retrospective study.

conclusionsOur findings suggest that the disease of most of the identified patients was misdiagnosed as psoriasis or eczema; therefore, a comprehensive morphologic and molecular review of skin biopsy specimens and peripheral blood samples should be considered before initiation of anti-TNF-α therapy in patients with poorly defined dermatitis or atypical presentations of psoriasis.

Indexed as

Disease ProgressionAdultAgedCohort StudiesDatabases, FactualDelayed DiagnosisFemaleHumansImmunotherapyLymphoma, T-Cell, CutaneousMaleMiddle AgedMycosis FungoidesPrognosisRetrospective StudiesSezary SyndromeTumor Necrosis Factor-alphaanti–tumor necrosis factor-α agentscutaneous lymphomaimmunosuppressionlarge cell transformationpsoriasiform dermatitisspongiotic dermatitis

Identifiers

PMID29307643
PMCPMC5951749

What OpenQuestion holds

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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.