Evidence map›Paper›PMID 29523604›Full record

ArticleBMJ case reports2018

Autoimmune haemolytic anaemia in a patient with advanced lung adenocarcinoma and chronic lymphocytic leukaemia receiving nivolumab and intravenous immunoglobulin.

Sandra D Algaze, Wungki Park, Thomas J Harrington, Raja Mudad

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. 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

4 authors at 2 institutions in 1 country.

Sandra D AlgazeDepartment of Internal Medicine, Jackson Memorial Hospital, Miami, Florida, USA.
Wungki ParkDivision of Hematology/Oncology, Jackson Memorial Hospital, Miami, Florida, USA.
Thomas J HarringtonDivision of Hematology/Oncology, Jackson Memorial Hospital, Miami, Florida, USA.
Raja MudadDivision of Hematology/Oncology, Jackson Memorial Hospital, Miami, Florida, USA.
Jackson Memorial Hospital · USUniversity of Miami Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a rare case of severe autoimmune haemolytic anaemia (AIHA) in the setting of underlying chronic lymphocytic leukaemia receiving intravenous immunoglobulin, history of warm IgG autoantibody and treatment with nivolumab for advanced non-small cell lung cancer. In this report, we describe AIHA as a potential serious immune-related adverse event from immune checkpoint inhibitors, discuss other potential contributing factors and review previously described cases of AIHA in patients receiving programmed death 1 (PD-1) inhibitors. In the era of immunotherapy, we hope to add literature to raise awareness of potential immune-related sequelae such as AIHA. We aim to highlight the importance of close monitoring for prompt identification and management of potentially fatal AIHA and immune-related adverse events of PD-1 inhibitors by holding immunotherapy and treating with high-dose steroids, particularly in subgroups which may be at increased risk.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAdministration, IntravenousAnemia, Hemolytic, AutoimmuneAntibodies, MonoclonalCarcinoma, Non-Small-Cell LungDisease ProgressionFatal OutcomeHumansImmunoglobulin GImmunoglobulins, IntravenousImmunotherapyLeukemia, Lymphocytic, Chronic, B-CellLung NeoplasmsMaleMiddle AgedAntibodies, MonoclonalImmunoglobulin GImmunoglobulins, IntravenousNivolumabPDCD1 protein, humanProgrammed Cell Death 1 Receptorhaematology (drugs and medicines)haematology (incl blood transfusion)immunologylung cancer (oncology)unwanted effects / adverse reactions

Identifiers

PMID29523604
PMCPMC5847928
OpenAlexW2793472260

What OpenQuestion holds

Textmetadata
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.