Evidence map›Paper›PMID 32276450›Full record

ArticleViruses2020

Epstein-Barr Virus-Induced Post-Transplant Lymphoproliferative Disorder of the Central Nervous System Successfully Treated with Chemo-immunotherapy.

Hiroaki Inoue, Shinya Rai, Hirokazu Tanaka, J Luis Espinoza, Maiko Komori-Inoue, Hiroaki Kakutani, Shuji Minamoto, Takahiro Kumode, Shoko Nakayama, Yasuhiro Taniguchi and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

15 authors at 1 institution in 1 country.

Hiroaki InoueDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Shinya RaiDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.ORCID 0000-0003-3929-9751
Hirokazu TanakaDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.ORCID 0000-0002-7192-525X
J Luis EspinozaDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.ORCID 0000-0002-1794-6666
Maiko Komori-InoueDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Hiroaki KakutaniDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Shuji MinamotoDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Takahiro KumodeDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Shoko NakayamaDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Yasuhiro TaniguchiDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Yasuyoshi MoritaDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Takeshi OkudaDepartment of Neurosurgery, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Yoichi TatsumiDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Takashi AshidaDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Itaru MatsumuraDepartment of Hematology and Rheumatology, Kindai University Faculty of Medicine, Osaka 589-8511, Japan.
Kindai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aplastic anemia is a rare blood disease characterized by the destruction of the hematopoietic stem cells (HSC) in the bone marrow that, in the majority of cases, is caused by an autoimmune reaction. Patients with aplastic anemia are treated with immunosuppressive drugs and some of them, especially younger individuals with a donor available, can be successfully treated with hematopoietic stem cell transplantation (HSCT). We report here a rare case of post-transplant lymphoproliferative disorder (PTLD) associated with Epstein-Barr virus (EBV) reactivation in a 30-year-old female patient who underwent allogeneic HSCT for severe aplastic anemia. The PTLD, which was diagnosed 230 days after transplantation, was localized exclusively in the central nervous system (specifically in the choroid plexus) and manifested with obvious signs of intracranial hypertension. After receiving three cycles of high dose methotrexate (HD-MTX) combined with rituximab, the patient achieved a complete clinical recovery with normalization of blood cell counts, no evidence of EBV reactivation, and no associated neurotoxicity.

Indexed as

AdultBiomarkersBiopsyCentral Nervous System DiseasesCombined Modality TherapyEpstein-Barr Virus InfectionsFemaleHerpesvirus 4, HumanHumansImmunohistochemistryImmunosuppression TherapyImmunosuppressive AgentsLymphoproliferative DisordersMagnetic Resonance ImagingTreatment OutcomeBiomarkersImmunosuppressive Agentsaplastic anemiaEBVimmunosuppressive therapylymphoproliferative disordertransplant complications

Identifiers

PMID32276450
PMCPMC7232501
OpenAlexW3016261960

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.