Evidence map›Paper›PMID 30147981›Full record

ArticleCase reports in rheumatology2018

Hepatitis E during Tocilizumab Therapy in a Patient with Rheumatoid Arthritis: Case Report and Literature Review.

Hidekazu Ikeuchi, Kana Koinuma, Masao Nakasatomi, Toru Sakairi, Yoriaki Kaneko, Akito Maeshima, Yuichi Yamazaki, Hiroaki Okamoto, Toshihide Mimura, Satoshi Mochida and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in rheumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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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

12 authors at 4 institutions in 1 country.

Hidekazu IkeuchiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.ORCID 0000-0002-0768-7090
Kana KoinumaDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Masao NakasatomiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.ORCID 0000-0002-8612-8915
Toru SakairiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yoriaki KanekoDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Akito MaeshimaDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yuichi YamazakiDepartment of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hiroaki OkamotoDivision of Virology, Department of Infection and Immunity, Jichi Medical University School of Medicine, Shimotsuke, Japan.
Toshihide MimuraDepartment of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Saitama, Japan.ORCID 0000-0002-9050-0855
Satoshi MochidaDivision of Gastroenterology and Hepatology Internal Medicine, Saitama Medical University, Saitama, Japan.
Yoshihisa NojimaDepartment of Rheumatology and Nephrology, Japan Red Cross Maebashi Hospital, Maebashi, Japan.
Keiju HiromuraDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Maebashi, Japan.ORCID 0000-0002-9490-8364
Gunma University · JPSaitama Medical University · JPJichi Medical University · JPMaebashi Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis E is an acute self-limiting disease caused by hepatitis E virus (HEV). Recent reports show that HEV can induce chronic hepatitis or be reactivated in immunocompromised hosts. We report a 63-year-old woman with rheumatoid arthritis (RA) who developed hepatitis E during treatment with tocilizumab. Analysis of serially stocked serum samples confirmed that hepatitis was caused by primary infection with HEV and not by viral reactivation. Her liver function improved after discontinuing tocilizumab and remained within the normal range without reactivation of HEV for >5 years after restarting tocilizumab. We also reviewed the published cases of hepatitis E that developed during RA treatment.

Identifiers

PMID30147981
PMCPMC6083553
OpenAlexW2883326025

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.