Evidence map›Paper›PMID 30813906›Full record

ArticleBMC gastroenterology2019

Case report of patient with a Cronkhite-Canada syndrome: sustained remission after treatment with corticosteroids and mesalazine.

Sigrid Schulte, Fabian Kütting, Jessica Mertens, Thomas Kaufmann, Uta Drebber, Dirk Nierhoff, Ulrich Töx, Hans-Michael Steffen

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Arrhythmias in Cronkhite-Canada Syndrome.Internal medicine (Tokyo, Japan) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Cronkhite-Canada syndrome: First case report from Egypt and North Africa.World journal of gastrointestinal endoscopy · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Aplastic Anemia in a Patient with Cronkhite-Canada Syndrome.Internal medicine (Tokyo, Japan) · 2021
    Article
  15. Review
  16. Review
  17. 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

8 authors at 2 institutions in 1 country.

Sigrid SchulteDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany. sigrid.schulte@uk-koeln.de.ORCID http://orcid.org/0000-0001-5992-322X
Fabian KüttingDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany.
Jessica MertensDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany.
Thomas KaufmannMarienhospital, Mühlenstrasse 21, D-50321, Brühl, Germany.
Uta DrebberInstitute of Pathology, University Hospital of Cologne, D-50937, Cologne, Germany.
Dirk NierhoffDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany.
Ulrich TöxDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany.
Hans-Michael SteffenDepartment of Gastroenterology and Hepatology, University Hospital of Cologne, D-50937, Cologne, Germany.
University Hospital Cologne · DEMarienhospital Stuttgart · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCronkhite-Canada syndrome is a rare disease of unknown etiology and the optimal treatment for this syndrome is unknown. CASE PRESENTATION: We present the case of a man who at the age of 66.0 years was diagnosed with Cronkhite-Canada syndrome (CCS). In addition to watery diarrhea, alopecia, and a complete loss of toenails and fingernails, the patient had been suffering from dysgeusia and rapid weight loss of more than 10.0 kg within a few months. The patient had recently incurred a distal radius fracture. During the initial endoscopy an extensive polyposis of the stomach and jejunum was found. The diagnosis of CCS was made and after initiation of a steroid therapy his diarrhea improved immediately. A discontinuation of the steroid therapy was not possible and mesalazine (1000 mg t.i.d.) was added to prednisolone (10.0 mg/d). This therapy led to a remission within 6.0 months with weight gain and normalization of serum albumin levels. The prednisolone dose was reduced to 7.5 mg/d. During the following year, the steroids could be further reduced and nails had regrown again. Within three years, all polyps had disappeared and the steroid therapy was finished while the dosage of mesalazine was reduced in a stepwise fashion. Four years later, the mesalazine was stopped and more than 14.0 years after the initial diagnosis the patient is still in complete remission without any treatment.

conclusionThe optimal treatment for CCS is unknown. In our case, the initial combination therapy of corticosteroids plus mesalazine followed by a mesalazine monotherapy has led to a remarkable long-lasting remission with complete resolution of all intestinal polyps.

Indexed as

AgedAlopeciaAnti-Inflammatory Agents, Non-SteroidalDiagnosis, DifferentialDiarrheaDrug Administration ScheduleDysgeusiaGlucocorticoidsHumansIntestinal PolyposisMaleMalnutritionMesalamineNail DiseasesPrednisoloneRemission InductionAnti-Inflammatory Agents, Non-SteroidalGlucocorticoidsMesalaminePrednisoloneAlopeciaCronkhite-Canada syndromeMesalazineNon-hereditary polyposisOnychodystrophy

Identifiers

PMID30813906
PMCPMC6391814
OpenAlexW2928583428

What OpenQuestion holds

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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.