Evidence map›Paper›PMID 31911769›Full record

ArticleCase reports in dermatology

Psoriasiform Dermatitis Developing during Treatment of Juvenile Idiopathic Arthritis with Tocilizumab.

Yoshiaki Matsushima, Akinobu Hayashi, Kento Mizutani, Makoto Kondo, Yasuo Nakai, Koji Habe, Yukie Yamaguchi, Yuji Kozuka, Hiroki Wakabayashi, Keiichi Yamanaka

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Emerging Roles of Adipose Tissue in the Pathogenesis of Psoriasis and Atopic Dermatitis in Obesity.JID innovations : skin science from molecules to population health · 2022
    Review
  6. 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

10 authors at 2 institutions in 1 country.

Yoshiaki MatsushimaDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Akinobu HayashiDepartment of Diagnostic Pathology, Mie University Graduate School of Medicine, Tsu, Japan.
Kento MizutaniDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Makoto KondoDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Yasuo NakaiDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Koji HabeDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Yukie YamaguchiDepartment of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yuji KozukaDepartment of Diagnostic Pathology, Mie University Graduate School of Medicine, Tsu, Japan.
Hiroki WakabayashiDepartment of Orthopedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Keiichi YamanakaDepartment of Dermatology, Mie University Graduate School of Medicine, Tsu, Japan.
Mie University · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of psoriasiform dermatitis developing during the treatment of juvenile idiopathic arthritis with tocilizumab (TCZ). The keratotic erythema with central healing showed a periodicity of growing worse 1 week after TCZ infusion, and then disappeared within 3 weeks. Skin biopsy showed parakeratosis, microabscess, rete ridge elongation, and abundant lymphocytes as well as a few neutrophil infiltrate in the upper dermis. TCZ is a humanized monoclonal antibody against interleukin 6 (IL-6) receptor. IL-6 plays a critical role in the differentiation from naïve T cells into Th17 cells in cooperation with transforming growth factor-β. IL-6 may be important in psoriasis pathogenesis, and therefore this phenomenon may be the adverse effect. The mechanism of TCZ-associated psoriasiform dermatitis is unclear. The serum IL-6 level seems to be elevated transitorily after TCZ administration, probably due to the competitive inhibition of IL-6 receptor alpha to IL-6. Excess free IL-6 may effect on other IL-6 family receptors. Since TCZ does not alter serum IL-17F level, another cytokine may be involved in the psoriasis formation in our case. Psoriasiform dermatitis during the use of TCZ may be due to relative cytokine balance disturbance.

Indexed as

Adverse eventBiologicInterleukin 6PsoriasisTocilizumab

Identifiers

PMID31911769
PMCPMC6940454
OpenAlexW2989575849

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.