Evidence map›Paper›PMID 31375890›Full record

ReviewRheumatology international2019

Clinical spectrum and therapeutics in Canadian patients with anti-melanoma differentiation-associated gene 5 (MDA5)-positive dermatomyositis: a case-based review.

Kun Huang, Ophir Vinik, Kam Shojania, James Yeung, Rachel Shupak, Michael Nimmo, J Antonio Avina-Zubieta

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04966884 (The Efficacy and Safety of JAK Inhibitor in the Treatment of Anti-MDA5 Antibody-positive Dermatomyositis Patients), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT04966884 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

The Efficacy and Safety of JAK Inhibitor in the Treatment of Anti-MDA5 Antibody-positive Dermatomyositis Patients

TypeinterventionalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2020 to 2021Enrolled20ConditionsDermatomyositis, Adult TypeArmsJAK Inhibitor
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  15. Multivariate logistic regression analysis of poor prognosis of dermatomyositis and clinical value of ferritin/Kl-6 in predicting prognosis.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
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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

7 authors at 2 institutions in 1 country.

Kun HuangDivision of Rheumatology, University of British Columbia, 706-13737 96 Ave, Surrey, BC, V3V 0C6, Canada. khuang@cmmt.ubc.ca.ORCID http://orcid.org/0000-0002-0242-6959
Ophir VinikDivision of Rheumatology, Saint Michael's Hospital, Toronto, Canada.ORCID http://orcid.org/0000-0002-5691-857X
Kam ShojaniaDivision of Rheumatology, University of British Columbia, 706-13737 96 Ave, Surrey, BC, V3V 0C6, Canada.ORCID http://orcid.org/0000-0003-2525-3744
James YeungDivision of Rheumatology, University of British Columbia, 706-13737 96 Ave, Surrey, BC, V3V 0C6, Canada.ORCID http://orcid.org/0000-0001-7506-2650
Rachel ShupakDivision of Rheumatology, Saint Michael's Hospital, Toronto, Canada.ORCID http://orcid.org/0000-0001-9028-5238
Michael NimmoDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.ORCID http://orcid.org/0000-0003-2295-887X
J Antonio Avina-ZubietaDivision of Rheumatology, University of British Columbia, 706-13737 96 Ave, Surrey, BC, V3V 0C6, Canada.ORCID http://orcid.org/0000-0001-5526-663X
University of British Columbia · CASt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of the study was to determine the clinical features and treatment course in Canadian patients with dermatomyositis (DM) associated with the anti-melanoma differentiation-associated gene 5 antibody (MDA5). A retrospective chart review of consecutive patients with anti-MDA5 antibody DM from two Canadian tertiary care centre between 2014 and 2018 was done. Twenty-one consecutive cases of anti-MDA5-positive DM were identified. Median age at diagnosis was 52 years, 71% Asians, predominantly Chinese, and 29% Caucasians. In this case series, all patients had either typical DM rash, or vasculopathy and ulceration unique to anti-MDA5-positive DM. 38% of the patients had rapid progressive (RP)-interstitial lung disease (RP-ILD), 33% had chronic ILD and 29% had asymptomatic ILD. Anti-Ro52 positivity was more prevalent in RP-ILD. Mortality was high in the RP-ILD group, with five deaths in eight patients. Lung transplant was life-saving intervention for three of the RP-ILD patients who survived. A review of the literature in treating RP-ILD associated with anti-MDA5 is presented. Although evidence is limited to small case series, cyclophosphamide (CYC) for refractory skin lesions, and CYC or mycophenolate mofetil plus a calcineurin inhibitor or rituximab (RTX) for RP-ILD appear efficacious. This is the largest North American case series of anti-MDA5-positive DM patients to date. There is a wide spectrum of clinical presentation of this entity. Survival is poor in those with RP-ILD; early aggressive immunosuppression and timely lung transplant were life-saving in our patients with RP-ILD.

Indexed as

AutoantibodiesAdultAgedCanadaDermatomyositisDisease ProgressionFemaleHumansInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialMaleMiddle AgedRetrospective StudiesYoung AdultAutoantibodiesIFIH1 protein, humanInterferon-Induced Helicase, IFIH1Amyopathic dermatomyositisInterstitial lung diseaseLung transplantationMelanoma differentiation-associated protein 5

Identifiers

PMID31375890
OpenAlexW2966445858

What OpenQuestion holds

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Registered trials

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.