Evidence map›Paper›PMID 29494763›Full record

Trial reportThe British journal of dermatology2018

Itch in dermatomyositis: the role of increased skin interleukin-31.

H J Kim, M Zeidi, D Bonciani, S M Pena, J Tiao, S Sahu, V P Werth

Abstract readClinical Trial
In one paragraph

Trial report in The British journal of dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. European S2k Guideline on Chronic PruritusActa dermato-venereologica · 2025
    Guideline
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  18. Dermatomyositis with Eosinophils.Dermatopathology (Basel, Switzerland) · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

H J KimCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.ORCID 0000-0003-1585-8184
M ZeidiCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.
D BoncianiCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.
S M PenaDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, U.S.A.
J TiaoCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.ORCID 0000-0001-8793-9456
S SahuCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.
V P WerthCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, U.S.A.
Philadelphia VA Medical Center · USGachon University · KRUniversity of Pennsylvania · US

Funding

Treatment of Dermatomyositis with Ajulemic Acid, a Non-Psychoactive CannabinoidR21AR066286 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WERTH, VICTORIA P · 2014 to 2016
$387k
The role of TNF-Alpha in cutaneous integrityI01BX000706 · VA · PHILADELPHIA VA MEDICAL CENTER · PI WERTH, VICTORIA P · 2013 to 2016
–
BLRD VA I01 BX000706NIAMS NIH HHS R21 AR066286NIH HHS R21 AR066286
6 · The paper itself

Abstract

backgroundInterleukin (IL)-31 is implicated in pruritus associated with pruritic skin diseases like atopic dermatitis. Although pruritus is a prominent feature in dermatomyositis (DM), few studies have evaluated the pathogenesis of DM-associated itch.

objectivesTo establish the prevalence of itch in DM, and to investigate the role of IL-31 in DM-related itch.

methodsPruritus and disease activity of DM were evaluated by a visual analogue scale (VAS) and the Cutaneous Disease and Activity Severity Index (CDASI), respectively. Expression of IL-31 and IL-31 receptor alpha (IL-31RA) in lesional DM, nonlesional DM and healthy control skin was evaluated by quantitative reverse-transcriptase polymerase chain reaction and immunofluorescence. Flow cytometry was performed on skin cells isolated from lesional DM skin to identify cellular sources of IL-31 in DM.

resultsAmong 191 patients with DM, 50·8% had moderate-to-severe itch, and itch was correlated with increased cutaneous severity (r = 0·34). In patients with itchy DM, gene expression of IL31 and IL31RA in lesional skin was upregulated compared with nonlesional skin and healthy control skin. IL31 mRNA expression positively correlated with VAS itch score (r = 0·67). On immunofluorescence, immunoreactivity for IL-31 and IL-31RA was stronger in lesional skin. Flow cytometry showed that lesional DM skin contained significantly more IL-31-producing cells, and CD4

conclusionsIncreased skin IL-31 may play a role in DM-associated itch, and ongoing trials will evaluate the effects of systemic treatment on IL-31 and itch in DM.

Indexed as

BiopsyCannabinoid Receptor AgonistsCD4-Positive T-LymphocytesCell SeparationDermatomyositisDown-RegulationDrugs, InvestigationalFemaleFlow CytometryHumansInterleukinsMaleMiddle AgedPrevalencePruritusReceptors, InterleukinCannabinoid Receptor AgonistsDrugs, InvestigationalIL31 protein, humanIL31RA protein, humanInterleukinsReceptors, Interleukin

Identifiers

PMID29494763
PMCPMC6119520
OpenAlexW2791082506

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.