Evidence map›Paper›PMID 30143001›Full record

ReviewBMC gastroenterology2018

Suspected drug-induced liver injury associated with iguratimod: a case report and review of the literature.

Xiao-Li Li, Xiao-Chang Liu, Yu-Lin Song, Ru-Tao Hong, Hai Shi

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Xiao-Li LiDepartment of Gastroenterology, First Affiliated Hospital of Anhui Medical University, NO.218, Jixi Road, Hefei, 230022, Anhui Province, China.
Xiao-Chang LiuDepartment of Gastroenterology, First Affiliated Hospital of Anhui Medical University, NO.218, Jixi Road, Hefei, 230022, Anhui Province, China.
Yu-Lin SongDepartment of Gastroenterology, First Affiliated Hospital of Anhui Medical University, NO.218, Jixi Road, Hefei, 230022, Anhui Province, China.
Ru-Tao HongDepartment of Gastroenterology, First Affiliated Hospital of Anhui Medical University, NO.218, Jixi Road, Hefei, 230022, Anhui Province, China.
Hai ShiDepartment of Gastroenterology, First Affiliated Hospital of Anhui Medical University, NO.218, Jixi Road, Hefei, 230022, Anhui Province, China. shmdah@163.com.
Anhui Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CN

Funding

The National Natural Science Foundation of China 81500403
6 · The paper itself

Abstract

backgroundIguratimod is a novel anti-rheumatic drug with the capability of anti-cytokines as report goes. It has been reported that iguratimod is effective and safe for rheumatoid arthritis and other rheumatisms. As side effects, iguratimod can cause gastrointestinal reactions, dizziness, headache and itchy. CASE PRESENTATION: In this case report, a 60-year-old female patient was admitted with suspected drug-induced liver injury (DILI) caused by iguratimod. The causality assessment was done by the updated RUCAM, and the possibility of the case in our paper diagnosed as highly probable for the score was 9 points. Iguratimod was discontinued immediately, and methylprednisolone was used for acute liver injury and Sjogren's syndrome. The data showed the patient has improved gradually, and she was discharged on day 27. The true incidence of iguratimod-related hepatotoxicity and its pathogenic mechanism are largely unknown. It is difficult to recognize and diagnose DILI, and there is no standard for diagnosis of DILI. At the same time, the DILI is still lack of specific treatment.

conclusionsBased on this rare case of severe liver injury, we recommend careful monitoring of liver function throughout iguratimod treatment for diseases.

Indexed as

Chemical and Drug Induced Liver InjuryChromonesFemaleGlucocorticoidsHumansImmunosuppressive AgentsMethylprednisoloneMiddle AgedSjogren's SyndromeSulfonamidesChromonesGlucocorticoidsiguratimodImmunosuppressive AgentsMethylprednisoloneSulfonamidesClinical featuresDrug-induced liver injuryIguratimodPathogenesisTreatment

Identifiers

PMID30143001
PMCPMC6108147
OpenAlexW2888285761

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.