Evidence map›Paper›PMID 32561372›Full record

ArticleJournal of the American Academy of Dermatology2021

Acute pancreatic injuries: A complication of Stevens-Johnson syndrome/toxic epidermal necrolysis associated with cytotoxic immunocell activation.

Xuemei Gao, Xuhua Tang, Lu Ai, Qian Gao, Qiman Liao, Mukai Chen, Xiaohong Chen, Hui Zhou, Yanting Ye, Minyi Li and 2 more

Abstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2021. 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. ExosomalInternational journal of biological sciences · 2025
    Article
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.

Xuemei GaoDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Xuhua TangDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Lu AiDepartment of Laboratory Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Qian GaoDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Qiman LiaoDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Mukai ChenDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Xiaohong ChenDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Hui ZhouDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Yanting YeDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Minyi LiDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong.
Jiande HanDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong. Electronic address: hanjd@mail.sysu.edu.cn.
Fang WangDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong. Electronic address: wangf78@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplications involving internal organs are usually present in Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). However, pancreatic complications are rarely reported and studied.

objectiveTo summarize clinical characteristics of SJS/TEN-associated acute pancreatic injuries and to investigate underlying inflammatory mechanisms.

methodsClinical records of 124 inpatients with SJS/TEN were reviewed. Serum levels of tumor necrosis factor α, interleukin (IL) 6, IL-18, IL-15, IL-12p70, and soluble CD56 were determined in 18 healthy donors and 17 patients with SJS/TEN, including 3 with acute pancreatic injuries.

resultsAcute pancreatic injury was diagnosed in 7.3% of patients (9/124) in the SJS/TEN cohort. Elevation of serum transaminase level and hypoalbuminemia occurred more frequently in patients with acute pancreatic injuries compared with those without pancreatic symptoms (P = .004 and <.001, respectively). Although acute pancreatic injury did not alter mortality rate of SJS/TEN, it was associated with longer hospitalization stays (P = .008). Within the serum cytokines whose levels were elevated in SJS/TEN, only IL-18 was found to be selectively increased in patients with acute pancreatic injuries compared with those without them (P = .03). LIMITATIONS: Cohort was small.

conclusionAcute pancreatic injury is a gastrointestinal complication of SJS/TEN in which hepatotoxicity is more likely to occur. Overexpression of IL-18 might be involved in this unique entity.

Indexed as

AdolescentAdultAgedCD56 AntigenChildFemaleHumansInterleukin-12Interleukin-15Interleukin-18Interleukin-6MaleMiddle AgedPancreatitisRetrospective StudiesStevens-Johnson SyndromeCD56 AntigenIL15 protein, humanIL18 protein, humanIL6 protein, humanInterleukin-12Interleukin-15Interleukin-18Interleukin-6NCAM1 protein, humanTNF protein, humanTumor Necrosis Factor-alphacomplicationcytokine storminterleukin 18liver dysfunctionpancreatitisStevens-Johnson syndrometoxic epidermal necrolysis

Identifiers

PMID32561372
PMCPMC7297678

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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.