Evidence map›Paper›PMID 32596254›Full record

ReviewInflammatory intestinal diseases2020

Hemophagocytic Lymphohistiocytosis and Inflammatory Bowel Disease: Case Report and Systematic Review.

Bárbara Brambilla, Amanda Machado Barbosa, Cassiano da Silva Scholze, Floriano Riva, Lislene Freitas, Raul Angelo Balbinot, Silvana Balbinot, Jonathan Soldera

Abstract readReview
In one paragraph

Review in Inflammatory intestinal diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Hepatobiliary tuberculosis in the developing world.World journal of gastrointestinal surgery · 2023
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  14. Post-COVID-19 cholangiopathy: Systematic review.World journal of methodology · 2023
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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

8 authors.

Bárbara BrambillaFaculty of Medicine, Universidade de Caxias do Sul, Caxias do Sul, Brazil.
Amanda Machado BarbosaFaculty of Medicine, Universidade de Caxias do Sul, Caxias do Sul, Brazil.
Cassiano da Silva ScholzePathologist, CPM Laboratório de Caxias do Sul, Caxias do Sul, Brazil.
Floriano RivaPathologist, CPM Laboratório de Caxias do Sul, Caxias do Sul, Brazil.
Lislene FreitasClinical Gastroenterology, Universidade de Caxias do Sul, Caxias do Sul, Brazil.
Raul Angelo BalbinotClinical Gastroenterology, Universidade de Caxias do Sul, Caxias do Sul, Brazil.
Silvana BalbinotClinical Gastroenterology, Universidade de Caxias do Sul, Caxias do Sul, Brazil.
Jonathan SolderaClinical Gastroenterology, Universidade de Caxias do Sul, Caxias do Sul, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report a case of a female patient with hemophagocytic lymphohistiocytosis (HLH) and to systematically review the available cases of the association between HLH and inflammatory bowel disease (IBD).

methodsIn accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, retrieval of studies was based on Medical Subject Headings and Health Sciences Descriptors, which were combined using Boolean operators. Searches were run on the electronic databases Scopus, Web of Science, MEDLINE (PubMed), Biblioteca Regional de Medicina, Latin American and Caribbean Health Sciences Literature, Cochrane Library for Systematic Reviews and Opengrey.eu. Languages were restricted to English, Spanish and Portuguese. There was no date of publication restrictions. The reference lists of the studies retrieved were searched manually.

resultsThe search strategy retrieved 223 references. In the final analysis, 28 references were included, with the report of 35 cases. The most common clinical finding was fever, 57% of patients had a cytomegalovirus infection and 30 patients were on thiopurines previously to HLH diagnosis. Most patients were treated with steroids and antiviral therapy. All-cause mortality was 22%.

conclusionThese findings suggest that there might be a connection of HLH to IBD, opportunistic viral infections and the use of thiopurines. Due to the severity of such disease, the clinical suspicion is paramount to early diagnosis and therapy.

Indexed as

Colitis, ulcerativeCrohn's diseaseInflammatory bowel diseasesLymphohistiocytosis, hemophagocyticThionucleosides

Identifiers

PMID32596254
PMCPMC7315217

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.