Evidence map›Paper›PMID 30918180›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Disseminated Intravascular Coagulation-like Reaction after Rituximab Infusion in a Patient with Nephrotic Syndrome.

Hiroki Nishiwaki, Megumi Oikawa, Hideto Kajitani, Daisuke Komukai, Yoshihiko Inoue, Fumihiko Koiwa

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

6 authors at 1 institution in 1 country.

Hiroki NishiwakiDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Megumi OikawaDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Hideto KajitaniDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Daisuke KomukaiDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Yoshihiko InoueDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Fumihiko KoiwaDivision of Nephrology, Department of Medicine, Showa University Fujigaoka Hospital, Japan.
Showa University Fujigaoka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several case series have suggested that rituximab is efficacious in adult patients with minimal change disease. We herein report a case of disseminated intravascular coagulation-like reaction after rituximab infusion in a patient with nephrotic syndrome. A 58-year-old Japanese man with minimal change disease diagnosed 15 years earlier was started on rituximab to prevent relapse of nephrotic syndrome when he presented to our clinic with low albuminemia, massive proteinuria, and leg edema. Eleven days after rituximab infusion, he presented with abdominal pain, appetite loss, and tarry stool. A laboratory examination revealed severe thrombocytopenia and coagulopathy, and upper gastrointestinal endoscopy revealed multiple hemorrhagic ulcers in his esophagus and stomach. The patient died two days later. Physicians should consider disseminated intravascular coagulation-like reaction when encountering cases with thrombocytopenia after rituximab infusion for any disease.

Indexed as

Disseminated Intravascular CoagulationFatal OutcomeHumansJapanMaleMiddle AgedNephrotic SyndromeRituximabThrombocytopeniaRituximabadultdisseminated intravascular coagulationnephrotic syndromerituximabrituximab-induced acute thrombocytopeniathrombocytopenia

Identifiers

PMID30918180
PMCPMC6702004
OpenAlexW2923654595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.