Evidence map›Paper›PMID 29966534›Full record

ArticleJournal of medical case reports2018

Glycemic dysregulation in a patient with type 2 diabetes treated with 5-azacitidine: a case report.

Antoine Ponard, Nicole Ferreira-Maldent, Marjan Ertault, Martine Delain, Kamel Amraoui, Sandra Regina, Annie-Pierre Jonville-Béra, Olivier Hérault, Philippe Colombat, Emmanuel Gyan

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Azacitidine-induced hyperglycaemia.BMJ case reports · 2019
    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

10 authors at 3 institutions in 1 country.

Antoine PonardService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France.ORCID http://orcid.org/0000-0002-9199-3225
Nicole Ferreira-MaldentService de médecine interne, Centre hospitalier universitaire, Tours, France.
Marjan ErtaultService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France.
Martine DelainService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France.
Kamel AmraouiService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France.
Sandra ReginaPôle Santé Léonard de Vinci, Chambray-les-Tours, France.
Annie-Pierre Jonville-BéraCentre régional de pharmacovigilance, Service de pharmacologie clinique, Centre hospitalier universitaire, Tours, France.
Olivier HéraultService d'hématologie biologique, Centre hospitalier universitaire, Tours, France.
Philippe ColombatService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France.
Emmanuel GyanService d'hématologie et thérapie cellulaire, Centre hospitalier universitaire, 2 boulevard Tonnellé, 37044, Tours, France. emmanuel.gyan@univ-tours.fr.
Centre Hospitalier Universitaire de Tours · FRUniversité de Tours · FRPôle Léonard de Vinci · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes and myelodysplastic syndrome are two conditions that may coexist in a single patient, since both diseases are prevalent in the elderly. The pathophysiology of myelodysplastic syndrome involves recurrent genetic mutations, especially in genes controlling epigenetic regulation. Although the pathophysiology of diabetes is not well understood, several studies suggest a role of epigenetics in type 2 diabetes. CASE PRESENTATION: We report here for the first time the case of a 75-year-old Caucasian man who was treated for both diabetes and acute myeloid leukemia secondary to myelodysplastic syndrome, with a temporal association between glycemic dysregulation and the intake of 5-azacitidine. In fact, 2-3 days after starting each 7-day cycle of 5-azacitidine, he reported higher blood glucose levels, requiring an increased dose of self-administered insulin.

conclusionThis observation could help to understand the pathophysiology of these two conditions and could encourage physicians to monitor blood glucose levels in patients under hypomethylating agent with a history of diabetes.

Indexed as

AgedAntimetabolites, AntineoplasticAzacitidineDiabetes Mellitus, Type 2Epigenesis, GeneticGlucoseHumansLeukemia, Myeloid, AcuteMaleMyelodysplastic SyndromesAntimetabolites, AntineoplasticAzacitidineGlucoseAcute myeloid leukemiaDiabetesHypomethylating agentMyelodysplastic syndrome

Identifiers

PMID29966534
PMCPMC6029345
OpenAlexW2810236764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.