Evidence map›Paper›PMID 31996385›Full record

ArticleBMJ case reports2020

Rare case of acute on chronic hepatic failure in a patient with multiple myeloma-associated amyloidosis.

Muzammil Muhammad Khan, Mamoon Ur Rashid, Waqas Ullah, Ishtiaq Hussain, Abu Hurairah

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Muzammil Muhammad KhanInternal Medicine, Khyber Medical College, Peshawar, Pakistan.
Mamoon Ur RashidInternal Medicine, AdventHealth Dade City, Dade City, Florida, USA.
Waqas UllahInternal Medicine, Abington Jefferson Health, Abington, Pennsylvania, USA waqasullah.dr@gmail.com.ORCID http://orcid.org/0000-0002-4850-0309
Ishtiaq HussainInternal Medicine, Mardan Medical Complex, Mardan, Khyber Pakhtunkhwa, Pakistan.
Abu HurairahInternal Medicine, AdventHealth Dade City, Dade City, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amyloidosis is the extracellular deposition of unique protein fibrils in different tissue organs. It is most commonly associated with B-cell malignancy such as multiple myeloma or Waldenstrom macroglobulinaemia. It involves the liver, heart, kidney, peripheral nerves and soft tissues. Liver however is affected, but clinically apparent disease is very rare. Hepatomegaly and mild elevation of alkaline phosphatase is the most common presentation in patients with liver involvement. Acute hepatic failure is a rare presentation with myeloma-induced amyloidosis. The diagnosis can be difficult requiring biopsy or sometimes special staining of the tissue. Management is still very challenging.

Indexed as

Acute-On-Chronic Liver FailureAdultAmyloidosisBiopsyDiagnosis, DifferentialHumansMaleMultiple MyelomaRadiographygastroenterologyliver diseaseoncology

Identifiers

PMID31996385
PMCPMC7021185

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.