Evidence map›Paper›PMID 30071937›Full record

ArticleEuropean journal of rheumatology2018

Severe gangrene in a patient with anti-RNP positive limited cutaneous systemic sclerosis/rheumatoid arthritis overlap syndrome caused by vasculopathy and vasculitis.

Charles Raine, Benjamin Canning, Jonathan Marks, Simon Donnelly, Voon Ong, Hasan Tahir

Open access · diamondAbstract read
In one paragraph

Article in European journal of rheumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Charles RaineDepartment of Rheumatology, Royal Free Hospital, London, UK.ORCID https://orcid.org/0000-0002-3462-0502
Benjamin CanningDepartment of Rheumatology, Whipps Cross University Hospital, London, UK.ORCID https://orcid.org/0000-0002-5683-5184
Jonathan MarksDepartment of Rheumatology, Royal Free Hospital, London, UK.ORCID https://orcid.org/0000-0002-8606-5387
Simon DonnellyDepartment of Rheumatology, Whipps Cross University Hospital, London, UK.ORCID https://orcid.org/0000-0002-1407-8170
Voon OngDepartment of Rheumatology, Royal Free Hospital, London, UK.ORCID https://orcid.org/0000-0001-5474-0053
Hasan TahirDepartment of Rheumatology, Whipps Cross University Hospital, London, UK.ORCID https://orcid.org/0000-0002-2148-736X
Whipps Cross University Hospital · GBUniversity College London · GBThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this paper, we describe a case of a male patient with anti-U1RNP positive limited cutaneous systemic sclerosis/rheumatoid arthritis overlap syndrome, who presented acutely with rapidly progressive digital ischemia, which lead to extensive gangrene. Management with conventional vasodilator therapy was unsuccessful. There were constitutional symptoms and a marked inflammatory response in the absence of evidence of infection, implying a component of vasculitis underlying the presentation. Treatment with immunosuppression and intravenous immunoglobulin led to resolution of the inflammatory process with no further progression of tissue necrosis. Here we discuss pertinent issues raised by the case, including the management of digital ischemia and gangrene in this context and the relevance of the anti-U1RNP in systemic sclerosis overlap syndromes.

Identifiers

PMID30071937
PMCPMC6267747
OpenAlexW2883791612

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.