Evidence map›Paper›PMID 30709830›Full record

ArticleBMJ case reports2019

Complete resolution of erythrodermic psoriasis with first-line apremilast monotherapy.

Geetha Krishnamoorthy, Aditya Kotecha, Jason Pimentel

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
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

3 authors at 2 institutions in 1 country.

Geetha KrishnamoorthyInternal Medicine, St. Joseph Mercy Oakland Hospital, Pontiac, Michigan, USA.
Aditya KotechaPulmonary/Critical Care, Henry Ford Hospital, Detroit, Michigan, USA.ORCID http://orcid.org/0000-0002-0139-4406
Jason PimentelPathology, Henry Ford Hospital, Detroit, Michigan.
Henry Ford Hospital · USTrinity Health Oakland Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erythrodermic psoriasis (EP) is the most serious type of psoriasis with high morbidity and mortality. First-line recommended therapies for EP, cyclosporine and infliximab have significant adverse effects. Cyclosporine increases the risk of hypertension, leucopenia, infections and renal failure. Infliximab increases the risk of reactivation of tuberculosis, hepatitis B and histoplasmosis, and increases risk for hepatitis, autoantibody formation, congestive heart failure, demyelinating disorders, pancytopenia, lymphoma and skin cancer. An effective drug with a much safer side effect profile will be of significant benefit in EP. The phosphodiesterase 4 inhibitor apremilast is U.S Food and Drug Administration (FDA) approved for plaque psoriasis and psoriatic arthritis. Adverse effects of apremilast reported are headache, nausea, diarrhoea, upper respiratory tract infection, potential for depression and weight loss. We report complete and long-standing resolution of EP with first-line apremilast monotherapy. Apremilast may be an effective option with comparatively minor side effects for EP.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalDermatitis, ExfoliativeHumansMaleMiddle AgedPruritusPsoriasisSymptom Flare UpThalidomideTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalapremilastThalidomidedermatologyhealthcare improvement and patient safetymedical management

Identifiers

PMID30709830
PMCPMC6357920
OpenAlexW2912124772

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.