Evidence map›Paper›PMID 30628015›Full record

ReviewClinical rheumatology2019

The complexity of an overlap type resistant cryoglobulinemia: a case report and review of the literature.

Milena Tocut, Ziv Rozman, Alexander Biro, Asher Winder, Amir Tanay, Gisele Zandman-Goddard

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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 2 institutions in 1 country.

Milena TocutDepartment of Internal Medicine C, Wolfson Medical Center, 61 Halochamim Street, 58100, Holon, Israel.
Ziv RozmanDepartment of Intensive Care, Wolfson Medical Center, Holon, Israel.
Alexander BiroDepartment of Nephrology, Wolfson Medical Center, Holon, Israel.
Asher WinderDepartment of Hematology, Wolfson Medical Center, Holon, Israel.
Amir TanaySackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Gisele Zandman-GoddardDepartment of Internal Medicine C, Wolfson Medical Center, 61 Halochamim Street, 58100, Holon, Israel. goddard@wmc.gov.il.ORCID http://orcid.org/0000-0002-4443-5300
Tel Aviv University · ILWolfson Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type I cryoglobulinemia is associated with B cell proliferative diseases, whereas essential mixed cryoglobulinemia is classically associated with infections, malignancy, and autoimmune diseases, but may be idiopathic. Prognosis in patients with grave manifestations and renal involvement is often poor. We report a case of a 40-year-old woman, 2 weeks post-partum for pre-eclampsia who was hospitalized with nephritic syndrome and acute renal failure. The patient harbored type I and type II cryoglobulinemia. Renal and cutaneous biopsies confirmed the diagnosis; however, an underlying etiology was not established. A bone marrow biopsy suggested monoclonal gammopathy of undetermined source (MGUS). Despite therapy with intravenous cyclophosphamide, rituximab, plasmapheresis, dialysis, and bortezomib, the patient succumbed after 8 months of hospitalization. We suggest that an overlap entity of types I and II cryoglobulinemia with severe multi-organ involvement not only is rare but also may be resistant to conventional therapy and fatal.

Indexed as

AdultCryoglobulinemiaCyclophosphamideDialysisFatal OutcomeFemaleHumansImmunoglobulin kappa-ChainsKidneyMonoclonal Gammopathy of Undetermined SignificancePlasmapheresisRituximabSkinCyclophosphamideImmunoglobulin kappa-ChainsRituximabBortezomibCryoglobulinemia type ICyclophosphamide (CYC)Mixed cryoglobulinemiaMonoclonal gammopathy of unclear significance (MGUS)Plasma exchangeRituximab (RTX)Vasculitis

Identifiers

PMID30628015
OpenAlexW2908770972

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.