Evidence map›Paper›PMID 32606113›Full record

ArticleBMJ case reports2020

Unexplained cause of thrombocytopenia, fever, anasarca and hypothyroidism: TAFRO syndrome with thrombotic microangiopathy renal histology.

Sylvain Raoul Simeni Njonnou, Justine Deuson, Claire Royer-Chardon, Frédéric Alain Vandergheynst, Virginie De Wilde

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 11 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

5 authors at 2 institutions in 2 countries.

Sylvain Raoul Simeni NjonnouInternal Medicine, Hopital Erasme, Brussels, Belgium raoulsims@yahoo.fr.ORCID http://orcid.org/0000-0002-5050-566X
Justine DeusonHeamatology, Hopital Erasme, Brussels, Belgium.
Claire Royer-ChardonPathology, Hopital Erasme, Brussels, Belgium.
Frédéric Alain VandergheynstInternal Medicine, Hopital Erasme, Brussels, Belgium.ORCID http://orcid.org/0000-0002-1388-9262
Virginie De WildeHeamatology, Hopital Erasme, Brussels, Belgium.
Erasmus Hospital · BEUniversité de Dschang · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

TAFRO (thrombocytopenia, anasarca, fever, reticulin myelofibrosis or renal dysfunction and organomegaly) syndrome is a systemic inflammatory disease characterised by thrombocytopenia, anasarca, fever or inflammatory syndrome, reticulin myelofibrosis or renal dysfunction and organomegaly. It was first described as a subtype of idiopathic multicentric Castleman disease. Here, we report the case of a 42-year-old woman presenting with thrombocytopenia, anasarca, inflammatory syndrome, renal insufficiency, reticulin myelofibrosis at bone marrow biopsy and cervical and axillary lymph nodes. Kidney biopsy showed double contours of the glomerular basement membrane, mesangiolysis and endothelial swelling compatible with thrombotic microangiopathy (TMA) as well as with TAFRO syndrome. She was successfully treated by corticosteroids, tocilizumab and rituximab. This new case description of TAFRO syndrome underlines three features of this disease rarely described in the literature and never simultaneously in the same patient: the association to severe hypothyroidism, the presence of TMA-like lesions on kidney biopsy and the treatment by the association of steroids, tocilizumab and rituximab.

Indexed as

Castleman DiseaseEdemaHypothyroidismKidneyAdultAntibodies, Monoclonal, HumanizedAntirheumatic AgentsBiopsyFemaleGlucocorticoidsHumansPositron-Emission TomographyRenal InsufficiencyRituximabThrombotic MicroangiopathiesTomography, X-Ray ComputedAntibodies, Monoclonal, HumanizedAntirheumatic AgentsGlucocorticoidsRituximabtocilizumabacute renal failurehaematology (incl blood transfusion)immunological products and vaccines

Identifiers

PMID32606113
PMCPMC7328895
OpenAlexW3039926881

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.