Evidence map›Paper›PMID 31708548›Full record

ArticleInternal medicine (Tokyo, Japan)2020

Elderly-onset Still's Disease Complicated by Macrophage Activation Syndrome: A Case Report and Review of the Literature.

Takuya Suda, Takeshi Zoshima, Akari Takeji, Yasunori Suzuki, Ichiro Mizushima, Kazunori Yamada, Akikatsu Nakashima, Akihiro Yachie, Mitsuhiro Kawano

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

9 authors at 3 institutions in 1 country.

Takuya SudaDepartment of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, Japan.
Takeshi ZoshimaDepartment of Rheumatology, Kanazawa University Graduate School of Medicine, Japan.
Akari TakejiDepartment of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, Japan.
Yasunori SuzukiDepartment of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, Japan.
Ichiro MizushimaDepartment of Rheumatology, Kanazawa University Graduate School of Medicine, Japan.
Kazunori YamadaDepartment of Hematology and Immunology, Kanazawa Medical University, Japan.
Akikatsu NakashimaDepartment of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, Japan.
Akihiro YachieDepartment of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Japan.
Mitsuhiro KawanoDepartment of Rheumatology, Kanazawa University Graduate School of Medicine, Japan.
Ishikawa Prefectural Central Hospital · JPKanazawa University · JPKanazawa Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult-onset Still's disease (AOSD) usually affects young adults. Some cases of elderly-onset Still's disease (EOSD) have been reported, but its clinical features are unclear. We herein report a 74-year-old woman who developed AOSD with macrophage activation syndrome (MAS). We also reviewed 24 previous EOSD cases in patients over 70 years old and compared the findings with overall AOSD. While the clinical features were similar between the two, including the presence of MAS, disseminated intravascular coagulation was more frequent in EOSD than in AOSD. Furthermore, despite a similar frequency of glucocorticoid use, immunosuppressants and biologics were less frequently administered in EOSD than in AOSD. This report highlights the fact that typical AOSD can develop in elderly patients with some characteristic features.

Indexed as

AgedAge of OnsetDisseminated Intravascular CoagulationFemaleHumansMacrophage Activation SyndromeStill's Disease, Adult-OnsetAdult onset Still's diseaseelderlyinterleukin-18macrophage activation syndrome

Identifiers

PMID31708548
PMCPMC7086308
OpenAlexW2987568677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.