Evidence map›Paper›PMID 29321417›Full record

ArticleInternal medicine (Tokyo, Japan)2018

Peripheral Ulcerative Keratitis Associated with Granulomatosis with Polyangiitis Emerging Despite Cyclophosphamide, Successfully Treated with Rituximab.

Yuya Fujita, Shoichi Fukui, Yushiro Endo, Sosuke Tsuji, Ayuko Takatani, Toshimasa Shimizu, Masataka Umeda, Ayako Nishino, Tomohiro Koga, Shin-Ya Kawashiri and 10 more

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Rituximab for non-infectious Uveitis and Scleritis.Journal of ophthalmic inflammation and infection · 2021
    Review
  12. Commentary: Rituximab in scleritis.Indian journal of ophthalmology · 2020
    Article
  13. 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

20 authors at 2 institutions in 1 country.

Yuya FujitaDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Shoichi FukuiDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Yushiro EndoDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Sosuke TsujiDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Ayuko TakataniDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Toshimasa ShimizuDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Masataka UmedaDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Ayako NishinoDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Tomohiro KogaDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Shin-Ya KawashiriDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Naoki IwamotoDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Kunihiro IchinoseDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Mami TamaiDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Hideki NakamuraDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Tomoki OriguchiDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Ryotaro UekiDepartment of Ophthalmology and Visual Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Masafumi UematsuDepartment of Ophthalmology and Visual Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Kaori IshidaDepartment of Pathology, Nagasaki University Hospital, Japan.
Kuniko AbeDepartment of Pathology, Nagasaki University Hospital, Japan.
Atsushi KawakamiDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.
Nagasaki University · JPNagasaki University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 67-year-old Japanese man was diagnosed with granulomatosis with polyangiitis based on the presence of right maxillary sinusitis, proteinase 3 antineutrophil cytoplasmic antibody positivity, and right scleritis. A conjunctival biopsy specimen showed neutrophil-predominant infiltration around the vessels without granuloma. Because there was a risk of blindness, pulsed methylprednisolone and intravenous cyclophosphamide pulse therapy (IVCY) were started. However, it was ineffective, and peripheral ulcerative keratitis newly emerged. We promptly switched the treatment from IVCY to rituximab, and ophthalmologists performed amniotic membrane transplantation, which avoided blindness. The close and effective working relationship between physicians and ophthalmologists improved our patient's ocular prognosis.

Indexed as

AgedCorneal UlcerCyclophosphamideGranulomatosis with PolyangiitisHumansMaleMethylprednisolonePrognosisRituximabCyclophosphamideMethylprednisoloneRituximabANCA-associated vasculitisgranulomatosis with polyangiitisperipheral ulcerative keratitisrituximabscleritisWegener's granulomatosis

Identifiers

PMID29321417
PMCPMC6047997
OpenAlexW2784290117

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.