Evidence map›Paper›PMID 31678920›Full record

ArticleBMJ case reports2019

Stevens-Johnson syndrome/toxic epidermal necrolysis: treatment with low-dose corticosteroids, vitamin C and thiamine.

Matthew Middendorf Middendorf, Ahmad Z Busaileh, Arneh Babakhani, Paul Ellis Marik

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 2 institutions in 1 country.

Matthew Middendorf MiddendorfInternal Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
Ahmad Z BusailehInternal Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Arneh BabakhaniInternal Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
Paul Ellis MarikDivision of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA marikpe@evms.edu.
Eastern Virginia Medical School · USNaval Medical Center Portsmouth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 33-year-old woman with no significant past medical history who was admitted to an outside hospital for the abrupt onset of fevers, malaise and a diffuse mucocutaneous rash. Her constellation of symptoms and presentation were most consistent with a diagnosis of Stevens-Johnson syndrome/toxic epidermal necrolysis overlap syndrome secondary to ibuprofen exposure. Her rash continued to worsen and she was transferred to our medical intensive care unit (ICU), where broad-spectrum antibiotics were discontinued and she was treated with supportive care as well as 'low-dose' intravenous hydrocortisone, ascorbic acid (vitamin C) and thiamine (HAT therapy). After starting this therapy, the patient demonstrated a dramatic response with rapid improvement of her cutaneous and mucosal lesions. She was tolerating a diet provided by the hospital on day 4 and was discharged from the ICU a few days later.

Indexed as

Administration, IntravenousAdrenal Cortex HormonesAdultAntioxidantsAscorbic AcidDrug Therapy, CombinationFemaleHumansIbuprofenStevens-Johnson SyndromeThiamineVitamin B ComplexAdrenal Cortex HormonesAntioxidantsAscorbic AcidIbuprofenThiamineVitamin B Complexadult intensive caredermatologyskin

Identifiers

PMID31678920
PMCPMC6827768
OpenAlexW2984054135

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.