Evidence map›Paper›PMID 32448834›Full record

ArticleInternal medicine (Tokyo, Japan)2020

Progressive Multifocal Leukoencephalopathy during Tocilizumab Treatment for Rheumatoid Arthritis.

Mamiko Anada, Miyoka Tohyama, Yoshitaka Oda, Yuuta Kamoshima, Itaru Amino, Fumihito Nakano, Yusei Miyazaki, Sachiko Akimoto, Naoya Minami, Seiji Kikuchi and 2 more

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. JC Polyomavirus Infection: A Narrative Review.Infectious diseases and therapy · 2025
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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

12 authors at 4 institutions in 1 country.

Mamiko AnadaDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Miyoka TohyamaMiyoka Clinic, Japan.
Yoshitaka OdaDepartment of Cancer Pathology, Faculty of Medicine, Hokkaido University, Japan.
Yuuta KamoshimaDepartment of Neurosurgery, Sapporo Azabu Neurosurgical Hospital, Japan.
Itaru AminoDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Fumihito NakanoDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Yusei MiyazakiDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Sachiko AkimotoDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Naoya MinamiDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Seiji KikuchiDepartment of Neurology, National Hospital Organization Hokkaido Medical Center, Japan.
Satoshi TeraeDepartment of Diagnostic Radiology, Sapporo City General Hospital, Japan.
Masaaki NiinoDepartment of Clinical Research, National Hospital Organization Hokkaido Medical Center, Japan.
National Hospital Organization Hokkaido Medical Center · JPHokkaido University Hospital · JPSapporo Azabu Neurosurgical Hospital · JPSapporo City General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 61-year-old woman was diagnosed with rheumatoid arthritis 12 years ago and received multiple treatment regimens before achieving symptomatic stability with methotrexate plus tocilizumab, a humanized monoclonal antibody against the IL-6 receptor, about 2 years prior to the current presentation. Sixteen months after tocilizumab initiation, she exhibited dysarthria and disorientation; five months later, she was hospitalized with movement difficulties. Her neurological symptoms deteriorated thereafter, accompanied by enlarged cerebral white matter lesions on magnetic resonance imaging. A biopsy of the right frontal lesion confirmed progressive multifocal leukoencephalopathy (PML). While several therapeutic monoclonal antibodies have been linked to PML, this is the first case associated with tocilizumab.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedArthritis, RheumatoidFemaleHumansLeukoencephalopathy, Progressive MultifocalMagnetic Resonance ImagingMethotrexateMiddle AgedReceptors, Interleukin-6Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedMethotrexateReceptors, Interleukin-6tocilizumabIL-6 receptor antibodymagnetic resonance imagingmethotrexateprogressive multifocal leukoencephalopathyrheumatoid arthritistocilizumab

Identifiers

PMID32448834
PMCPMC7492111
OpenAlexW3027691583

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.