Evidence map›Paper›PMID 32347337›Full record

ReviewJournal of neurology2020

Sustained response to subcutaneous immunoglobulins in chronic ataxic neuropathy with anti-disialosyl IgM antibodies (CANDA): report of two cases and review of the literature.

D Marastoni, L Africa, A Peretti, S Bocci, L Insana, S Ferrari, F Ginanneschi, G Zanette, G M Fabrizi, F Giannini

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Subcutaneous immunoglobulins (SCIG) for chronic inflammatory demyelinating polyneuropathy (CIDP): A comprehensive systematic review of clinical studies and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. Article
  3. Article
  4. 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 3 institutions in 1 country.

D Marastoni *Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro 10, 37134, Verona, Italy.
L Africa *Dipartimento Di Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Università Di Siena, Viale Bracci 16, Siena, Italy.
A PerettiDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro 10, 37134, Verona, Italy.
S BocciDipartimento Di Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Università Di Siena, Viale Bracci 16, Siena, Italy.
L InsanaDipartimento Di Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Università Di Siena, Viale Bracci 16, Siena, Italy.
S FerrariDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro 10, 37134, Verona, Italy.
F GinanneschiDipartimento Di Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Università Di Siena, Viale Bracci 16, Siena, Italy.
G ZanetteNeurology Division, Pederzoli Hospital, Peschiera del Garda, Verona, Italy.
G M Fabrizi *Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Policlinico "G.B. Rossi", Piazzale L.A. Scuro 10, 37134, Verona, Italy. gianmaria.fabrizi@univr.it.
F Giannini *Dipartimento Di Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Universitaria Senese, Università Di Siena, Viale Bracci 16, Siena, Italy.
Azienda Ospedaliera Universitaria Senese · ITUniversity of Verona · ITCasa di Cura Villa Garda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic ataxic neuropathy with anti-disialosyl IgM antibodies (CANDA) is a rare disorder for which the pathological, neurophysiological, and therapeutic evidence remains anecdotal and controversial.

methodsThis report on CANDA focuses on the neurophysiological patterns and treatment responses shared by two cases. One patient underwent nerve ultrasound follow-up. A comprehensive review of the literature highlighted the diverse experiences with different treatment options.

resultsResponse to different therapies was similar in both patients: intravenous immunoglobulins achieved a favorable response albeit with significant wearing-off fluctuations; treatment with subcutaneous immunoglobulins (SCIg) was an effective alternative leading to a clinical response for at least 2 years. Rituximab, which was trialed in both patients, was not continued long enough to determine its efficacy in modifying the disease course and/or modulating responsiveness to immunoglobulins. Steroids caused clinical worsening in both patients.

conclusionsImmunoglobulin therapy appeared as the most effective in the treatment of these two patients. SCIg provided an effective treatment option for the long-term management of CANDA.

Indexed as

GangliosidesPeripheral Nervous System DiseasesAtaxiaHumansImmunoglobulin MImmunoglobulinsImmunoglobulins, IntravenousGangliosidesImmunoglobulin MImmunoglobulinsImmunoglobulins, IntravenousAnti-disialosyl antibodiesB-cell lymphomaCANDAChronic ataxic neuropathySubcutaneous immunoglobulinsTherapy

Identifiers

PMID32347337
OpenAlexW3019425498

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.