Evidence map›Paper›PMID 29490707›Full record

ArticleBMC research notes2018

A pyoderma gangrenous-like cutaneous leishmaniasis in a Libyan woman with rheumatoid arthritis: a case report.

Hamida Al-Dwibe, Ahmad Amro, Aisha Gashout, Ali El-Zurghany, Said El-Zubi, Mohamed El-Hashme, Omar Hamarsheh, Mokhtar Maree

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. A Chronic Ulcer in a Patient Under Biologic Treatment: A Quiz.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Case Report: Cutaneous Leishmaniasis Misdiagnosed as Pyoderma Gangrenosum.The American journal of tropical medicine and hygiene · 2020
    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

8 authors at 2 institutions in 2 countries.

Hamida Al-DwibeDermatology Department, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Ahmad AmroFaculty of Pharmacy, Al-Quds University, Jerusalem, Palestine. ahmadymm@hotmail.com.ORCID http://orcid.org/0000-0003-4123-2679
Aisha GashoutPathology Department, Faculty of Medical Technology, University of Tripoli, Tripoli, Libya.
Ali El-ZurghanyDermatology Department, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Said El-ZubiDermatology Department, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Mohamed El-HashmeDermatology Department, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Omar HamarshehDepartment of Biological Sciences, Faculty of Science & Technology, Al-Quds University, Jerusalem, Palestine.
Mokhtar MareeDermatology Department, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
University of Tripoli · LYAl-Quds University · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral case reports describe diseases presenting with skin ulcerations, which resemble pyoderma gangrenosum especially in immune-compromised patients, often proven on further workup, to have an infective or malignant etiology. However, treatment of pyoderma gangrenosum by systemic steroids or other immunosuppressive agents may worsen the condition. CASE PRESENTATION: We report here, a 45 year-old Libyan woman with rheumatoid arthritis on low dose steroids with pyoderma gangrenosum-like skin lesions and positive pathergy. Slit-smear was positive for Leishmania amastigotes and histopathological examination confirmed the diagnosis of cutaneous leishmaniasis. The lesions healed completely by parenteral sodium stibogluconate (Pentostam) 600 mg daily.

conclusionWe report for the first time, a rare and unusual presentation of pyoderma gangrenosum like-cutaneous leishmaniasis in a patient with rheumatoid arthritis. Atypical cutaneous leishmaniasis should not be ruled out in the differential diagnosis of unresponsive skin diseases, with slit/smear and a skin biopsy is required.

Indexed as

Arthritis, RheumatoidFemaleHumansLeishmaniasis, CutaneousLibyaMiddle AgedPyoderma GangrenosumCutaneous leishmaniasisLeishmaniaPyoderma gangrenousRheumatoid arthritis

Identifiers

PMID29490707
PMCPMC5831575
OpenAlexW2796054939

What OpenQuestion holds

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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.