Evidence map›Paper›PMID 31138937›Full record

ArticleGhana medical journal2019

Clinical characteristics of males with systemic lupus erythematosus (SLE) in an inception cohort of patients in Ghana.

Dzifa Dey, Emmanuel Ofori, Kojo A Hutton-Mensah, Martin Luther King Akutek, Rafiq Okine, Issifu Amoaba, Kwaku Agyemang-Duah, Harriet Kwarko

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Article in Ghana medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

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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 4 institutions in 1 country.

Dzifa DeyDepartment of Medicine and Therapeutics, University of Ghana School of Medicine and Dentistry, College of Health Sciences, Korle-Bu, Accra, Ghana.
Emmanuel OforiKomfo Anokye Teaching Hospital, P.O Box 1934, Kumasi, Ghana.
Kojo A Hutton-MensahKomfo Anokye Teaching Hospital, P.O Box 1934, Kumasi, Ghana.
Martin Luther King AkutekHoly Family Hospital P.O. Box 36, Techiman, Ghana.
Rafiq OkineSchool of Public Health, College of Health Sciences, University of Ghana.
Issifu AmoabaTamale Teaching Hospital, Ghana.
Kwaku Agyemang-DuahKomfo Anokye Teaching Hospital, P.O Box 1934, Kumasi, Ghana.
Harriet KwarkoDepartment of Medicine and Therapeutics, University of Ghana School of Medicine and Dentistry, College of Health Sciences, Korle-Bu, Accra, Ghana.
Komfo Anokye Teaching Hospital · GHHoly Family Hospital · GHTamale Teaching Hospital · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic Lupus Erythematosus (SLE) is said to be rare in Sub-Saharan Africa and even rarer in males worldwide. SLE is mostly considered a disease of women, though men may also be affected, and this may lead to a delay in diagnosis in men. The result is a greater burden of inflammation and subsequent organ damage over time.

methodData from the medical records of 13 male patients diagnosed with SLE at the Rheumatology Clinic of Korle- Bu Teaching Hospital between January 2014 and January 2017 was retrospectively analyzed.

resultsA total of 13 male patients out of a total of 134 SLE patients were included in our analysis. The mean age was 30.62 ± SD 8.47 years (range of 17 to 46 years). All of them (100%) presented with constitutional features. The most common ACR criteria observed was 61.5 % rash, 54.5 % oral ulcers, 92.3% arthritis, 61.5 % serositis and 38.5% renal involvement, 46.2 % CNS involvement. Looking at their serological profile, 91.7 % had a positive antinuclear antibody (ANA). 33.3 % had positive anti-dsDNA and 58.3 % extractable nuclear antigens. The mean duration from onset of symptoms to diagnosis was 21.31 months. Five patients were diagnosed with lupus nephritis, all at the time of diagnosis. There were no mortalities.

conclusionMale SLE patients in Ghana are comparable to other populations, with arthritis and constitutional features being predominant early features and lupus nephritis being the main early indicator of organ damage. This should warrant aggressive management in male patients.

fundingNone declared.

Indexed as

AdolescentAdultGhanaHumansLupus Erythematosus, SystemicLupus NephritisMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexSex FactorsYoung AdultMalenephritisSub-Saharan Africasystemic lupus erythematosus

Identifiers

PMID31138937
PMCPMC6527833
OpenAlexW2939418848

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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.