Evidence map›Paper›PMID 31062074›Full record

ReviewRheumatology international2021

A young female with early onset arthritis, uveitis, hepatic, and renal granulomas: a clinical tryst with Blau syndrome over 20 years and case-based review.

Ankur Kumar Jindal, Rakesh Kumar Pilania, Deepti Suri, Anju Gupta, Marco Gattorno, Isabella Ceccherini, Nitin Kumar, Rima Bansal, Ritambhra Nada, Surjit Singh

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. Kidney Involvement in Autoinflammatory Diseases.Kidney diseases (Basel, Switzerland) · 2023
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Blau syndrome: a case report from Palestine.Pediatric rheumatology online journal · 2021
    Article
  13. Distinguishing Blau Syndrome from Systemic Sarcoidosis.Current allergy and asthma reports · 2021
    Review
  14. Article
  15. 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

10 authors at 2 institutions in 2 countries.

Ankur Kumar JindalAllergy Immunology Unit, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. ankurjindal11@gmail.com.ORCID http://orcid.org/0000-0002-7954-0661
Rakesh Kumar PilaniaAllergy Immunology Unit, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-9015-1704
Deepti SuriAllergy Immunology Unit, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-5875-2892
Anju GuptaAllergy Immunology Unit, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0003-3567-7209
Marco GattornoIstituto Giannina Gaslini, Clinica Pediatrica e Reumatologia, Genoa, Italy.ORCID http://orcid.org/0000-0003-0704-1916
Isabella CeccheriniUOC Medical Genetics, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID http://orcid.org/0000-0001-8732-1955
Nitin KumarDepartment of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID http://orcid.org/0000-0003-2396-8172
Rima BansalDepartment of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID http://orcid.org/0000-0003-1025-4226
Ritambhra NadaDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID http://orcid.org/0000-0002-8955-1428
Surjit SinghAllergy Immunology Unit, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-8738-4582
Post Graduate Institute of Medical Education and Research · INIstituto Giannina Gaslini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blau syndrome is a rare autosomal dominant monogenic auto-inflammatory disorder characterized by triad of granulomatous polyarthritis, dermatitis, and uveitis. However, it may be difficult to recognize this syndrome in the absence of all three characteristic clinical manifestations. A 3-year-old girl presented with early onset symmetric polyarthritis and developed granulomatous uveitis at 13 years of age. However, Blau syndrome was suspected at 21 years of age when she was diagnosed to have disseminated granulomas in liver and kidneys. Diagnosis of Blau syndrome was confirmed by finding a mutation in NOD2 gene (p.Arg334Gln; FP2678). She was initiated on adalimumab therapy and she showed good response to this treatment. We did a literature search to find out all reported cases of Blau syndrome with disseminated granulomatous inflammation and all cases of Blau syndrome that were treated with adalimumab therapy. Seventeen patients with Blau syndrome have been reported to have granulomas at unusual locations (liver; kidneys; lungs; salivary glands; intestine; and lymph nodes). Adalimumab has been reported to be used in 33 patients with Blau syndrome. The indication to initiate adalimumab in large majority of these patients was persistence of uveitis. A possibility of Blau syndrome should be considered in all children presenting with early onset arthritis (especially with the presence of boggy swelling) and granulomatous uveitis. Granulomas in the liver and kidney are uncommon disease manifestations. Adalimumab may be an effective treatment for patients with Blau syndrome who are resistant to other forms of therapy.

Indexed as

AdalimumabAntirheumatic AgentsArthritisChild, PreschoolFemaleHereditary Autoinflammatory DiseasesHumansSarcoidosisSynovitisUveitisAdalimumabAntirheumatic AgentsAdalimumabArthritisBlau syndromeGranulomasKidneyLiverNOD2 geneUveitis

Identifiers

PMID31062074
OpenAlexW2944551316

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.