Evidence map›Paper›PMID 29633070›Full record

ReviewInternal and emergency medicine2018

Management of idiopathic recurrent pericarditis in adults and in children: a role for IL-1 receptor antagonism.

Antonio Brucato, Giacomo Emmi, Luca Cantarini, Andrea Di Lenarda, Marco Gattorno, Giuseppe Lopalco, Renzo Marcolongo, Massimo Imazio, Alberto Martini, Domenico Prisco

Abstract readReview
PubMed Publisher
In one paragraph

Review in Internal and emergency medicine, 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
7.3field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Etiologies, fluid characteristics, and outcomes of pericardiocentesis: a five-year retrospective study from a single center.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Emerging Therapies for Recurrent Pericarditis: Interleukin-1 inhibitors.Journal of the American Heart Association · 2021
    Review
  13. Review
  14. Observational
  15. Review
  16. Review
  17. Article
  18. Article
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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

10 authors at 7 institutions in 1 country.

Antonio BrucatoInternal Medicine Division, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
Giacomo EmmiDepartment of Experimental and Clinical Medicine, University of Firenze, Largo Brambilla 3, 50134, Firenze, Italy. giacomaci@yahoo.it.
Luca CantariniDepartment of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases, Behçet's Disease Clinic and Rheumatology-Ophthalmology Collaborative Uveitis Center, University of Siena, Siena, Italy.
Andrea Di LenardaCardiovascular Center, Trieste, Italy.
Marco GattornoUnit of Autoinflammatory Diseases and Immunodeficiencies, Clinic of Pediatrics and Rheumatology, "G. Gaslini" Institute, Genoa, Italy.
Giuseppe LopalcoRheumatology Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Renzo MarcolongoClinical Immunology, Department of Medicine, Azienda Ospedaliera-Università, Padua, Italy.
Massimo ImazioAOU Città della Salute e della Scienza di Torino, University Cardiology, Torino, Italy.
Alberto MartiniUnit of Autoinflammatory Diseases and Immunodeficiencies, Clinic of Pediatrics and Rheumatology, "G. Gaslini" Institute, Genoa, Italy.
Domenico PriscoDepartment of Experimental and Clinical Medicine, University of Firenze, Largo Brambilla 3, 50134, Firenze, Italy.
Istituto Giannina Gaslini · ITUniversity of Florence · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera di Padova · ITOspedale Papa Giovanni XXIII · ITUniversity of Bari Aldo Moro · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent pericarditis is one of the most frequent pericardial diseases, affecting up to 30% of the patients who have experienced acute pericarditis. While the diagnosis of acute pericarditis is sometime straight forward, its etiology and therapeutic management are still a challenge for physicians. In developed countries, the idiopathic form is the most frequent, and the search for an infectious etiology is almost invariably negative. Nevertheless, since standard treatment with nonsteroidal anti-inflammatory drugs and colchicine is not always able to neutralize pericardial inflammation in recurrent pericarditis, anakinra, an IL-1 receptor antagonist, has been proposed as a possible therapeutic alternative for refractory forms. IL-1 is a cytokine that exerts a pivotal role in innate immunity and in the pathogenesis of some autoimmune diseases, such as rheumatoid arthritis, and in autoinflammatory disorders, as familial Mediterranean fever and cryopyrin-associated periodic syndromes. The successful management of patients with acute idiopathic recurrent pericarditis (IRP) needs a teamwork approach, where cardiologists, rheumatologists, clinical immunologists and internists are involved. In this review, we will discuss the clinical and therapeutical challenges of IRP both in adults and children from a clinical practice standpoint. We will also briefly illustrate the main pathogenic mechanisms of IRP to provide internists and cardiologists with the rationale for approaching the use of anakinra in selected clinical cases.

Indexed as

AdolescentAdultAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsAspirinBiomarkersChildChild, PreschoolColchicineC-Reactive ProteinGlobal HealthHumansImmunity, InnateInterleukin 1 Receptor Antagonist ProteinMiddle AgedPericarditisAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsAspirinBiomarkersColchicineC-Reactive ProteinIL1R1 protein, mouseInterleukin 1 Receptor Antagonist ProteinReceptors, Interleukin-1 Type IAnakinraAutoimmune diseasesAutoinflammatory diseasesInterleukin-1RaPericardial diseasesRecurrent pericarditis

Identifiers

PMID29633070
OpenAlexW2796141886

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.