Evidence map›Paper›PMID 31587119›Full record

ArticleDrug safety - case reports2019

Acute Kidney Injury Following Exposure to Calcineurin Inhibitors in a Patient with Idiopathic Membranous Nephropathy.

Maciej Goździk, Agnieszka Płuciennik, Anna Zawiasa-Bryszewska, Maja Nowicka, Zuzanna Nowicka, Małgorzata Wągrowska-Danilewicz, Ilona Kurnatowska

Abstract read
In one paragraph

Article in Drug safety - case reports, 2019. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

7 authors.

Maciej GoździkDepartment of Clinical Pharmacology, 1st Chair of Internal Medicine, Medical University of Łódź, ul. Kopcińskiego 22, 90-153, Lodz, Poland.
Agnieszka PłuciennikDepartment of Nephrology, Norbert Barlicki Memorial Teaching Hospital, Lodz, Poland.
Anna Zawiasa-BryszewskaDepartment of Clinical Pharmacology, 1st Chair of Internal Medicine, Medical University of Łódź, ul. Kopcińskiego 22, 90-153, Lodz, Poland.
Maja NowickaDepartment of Clinical Pharmacology, 1st Chair of Internal Medicine, Medical University of Łódź, ul. Kopcińskiego 22, 90-153, Lodz, Poland.ORCID http://orcid.org/0000-0001-6587-2502
Zuzanna NowickaDepartment of Clinical Pharmacology, 1st Chair of Internal Medicine, Medical University of Łódź, ul. Kopcińskiego 22, 90-153, Lodz, Poland.
Małgorzata Wągrowska-DanilewiczDepartment of Nephropathology, Medical University of Lodz, Lodz, Poland.
Ilona KurnatowskaDepartment of Clinical Pharmacology, 1st Chair of Internal Medicine, Medical University of Łódź, ul. Kopcińskiego 22, 90-153, Lodz, Poland. ilona.kurnatowska@umed.lodz.pl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Membranous nephropathy (MN) is one of the most common causes of nephrotic syndrome in non-diabetic adult patients; 75% of adult patients with MN suffer from primary idiopathic membranous nephropathy (IMN). The treatment of choice is immunosuppressive therapy, with a combination of steroids and cyclophosphamide (CYF) or chlorambucil or, as second-line treatment, calcineurin inhibitors (CNIs). One of the main concerns associated with the usage of CNIs is their potential to induce nephrotoxicity. We report a case of acute kidney injury that developed on two separate occasions within days of the administration of CNIs in a 57-year-old male patient treated for MN. The patient was qualified for first-line treatment with prednisone and CYF. Due to insufficient response and bad tolerance of CYF infusions, the immunosuppressive regimen was modified and CNIs were introduced, starting with cyclosporine A (CsA). On the third day of treatment, a severe decrease in diuresis and kidney function occurred and CsA was discontinued, resulting in a return to baseline kidney function. After 2 months, the situation repeated after attempting to introduce tacrolimus.

Identifiers

PMID31587119
PMCPMC6778568

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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.