Evidence map›Paper›PMID 31273457›Full record

ReviewRheumatology international2020

Successful use of tocilizumab in amyloidosis secondary to systemic juvenile idiopathic arthritis.

Ayush Gupta, Narendra Kumar Bagri, Saroj Kumar Tripathy, Adarsh Barwad, Ravi Hari Phulware, Pankaj Hari

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Disease Damage in Juvenile Idiopathic Arthritis.Indian journal of pediatrics · 2025
    Article
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  5. 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.

Ayush GuptaDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-1851-0856
Narendra Kumar BagriDivision of Rheumatology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. drnarendrabagri@yahoo.co.in.ORCID http://orcid.org/0000-0001-8004-0536
Saroj Kumar TripathyDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-8764-7450
Adarsh BarwadDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-4805-3342
Ravi Hari PhulwareDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-5136-7254
Pankaj HariDivision of Nephrology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-6533-8403
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amyloidosis secondary to juvenile idiopathic arthritis is a known complication of poorly controlled systemic juvenile idiopathic arthritis (SJIA), occurring in 1-2% of the patients. The IL-6 inhibitor tocilizumab is effective in controlling systemic signs and symptoms of sJIA and may be of therapeutic benefit in secondary amyloidosis. Herein, we report the clinical timeline of a 10-year boy with sJIA and secondary amyloidosis, who showed a sustained improvement of systemic symptoms and a reduction in proteinuria with tocilizumab. Compared to the data on adult patients affected with the secondary amyloidosis, there are very few reports on therapeutic options for the children affected with SJIA and secondary amyloidosis in the paediatric population. While doing a systematic literature search for writing this review, we could only retrieve nine case reports and one case series of the children affected with SJIA and secondary amyloidosis, including five cases which were treated with tocilizumab. We also looked into the clinical and biochemical response to various agents that have been used in the previous cases, including tocilizumab. The available literature and the present case report suggest that tocilizumab may be considered as a safe and effective option to treat SJIA-related secondary amyloidosis.

Indexed as

AmyloidosisAntibodies, Monoclonal, HumanizedAntihypertensive AgentsAntirheumatic AgentsArthritis, JuvenileChildCyclophosphamideEnalaprilHumansHypertensionKidney DiseasesMaleProteinuriaAntibodies, Monoclonal, HumanizedAntihypertensive AgentsAntirheumatic AgentsCyclophosphamideEnalapriltocilizumabAmyloidosisPaediatric rheumatologySystemic juvenile idiopathic arthritisTocilizumab

Identifiers

PMID31273457
OpenAlexW2954300915

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.