Evidence map›Paper›PMID 30662460›Full record

ArticleInternational journal of endocrinology2018

Autoimmune Diseases in Patients with Cushing's Syndrome after Resolution of Hypercortisolism: Case Reports and Literature Review.

Luigi Petramala, Federica Olmati, Maria Gabriella Conforti, Antonio Concistré, Valeria Bisogni, Nikita Alfieri, Gino Iannucci, Giorgio de Toma, Claudio Letizia

Open access · goldAbstract read
In one paragraph

Article in International journal of endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Implications of Dysnatremia and Endocrine Disturbances in COVID-19 Patients.International journal of molecular sciences · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. Glucocorticoid excess and COVID-19 disease.Reviews in endocrine & metabolic disorders · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

9 authors at 1 institution in 1 country.

Luigi PetramalaSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.ORCID 0000-0003-4463-4956
Federica OlmatiSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.
Maria Gabriella ConfortiSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.ORCID 0000-0002-3809-7990
Antonio ConcistréSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.ORCID 0000-0001-5952-1853
Valeria BisogniSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.
Nikita AlfieriSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.
Gino IannucciSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.
Giorgio de TomaDepartment of Surgery "P. Valdoni", University of Rome "La Sapienza", Rome, Italy.
Claudio LetiziaSecondary Hypertension Unit, Department of Transactional Medicine and Precision, University of Rome "La Sapienza", Rome, Italy.ORCID 0000-0003-4397-0624
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCushing's syndrome (CS) is a clinical condition characterized by excessive cortisol production, associated with metabolic complications, such as diabetes mellitus, dyslipidemia, metabolic syndrome, hypertension, and cardiovascular diseases. Nowadays, the occurrence of autoimmune diseases in CS have not been completely evaluated in the previous studies.

objectiveThe aim of this study was to evaluate the occurrence of autoimmune diseases in CS patients after successfully treated. MATERIALS AND

methodsFrom January 2001 to December 2017, in our Secondary Hypertension Unit, we evaluated 147 CS patients (91 with ACTH-independent disease, 54 with ACTH-dependent disease, and 2 patients with ectopic ACTH production.

results109 CS patients (74.1%) were surgically treated (67 ACTH-independent CS patients (61.5%) undergone adrenalectomy and 42 ACTH-dependent CS (38.5%) undergone transsphenoidal surgery) and evaluated after 6, 12, and 24 months after clinical and biochemical remission of disease. In 9 (8.3%) of overall treated CS patients (8.3%), during follow-up, we observed the onset of some manifestations of autoimmune diseases. In particular, one patient had a systemic lupus erythematosus, one patient had rheumatoid arthritis, 4 patients reported autoimmune thyroiditis (Basedow-Graves' disease and Hashimoto's thyroiditis), one patient had clinical features of psoriasis, one patient showed myasthenia gravis, and one patient had giant cell arteritis.

conclusionsOur results demonstrate that patients successfully treated for CS could develop autoimmune diseases. Therefore, after treatment, CS patients need to be strictly monitored in order to evaluate the possible onset of autoimmune diseases.

Identifiers

PMID30662460
PMCPMC6312625
OpenAlexW2904699181

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.