Evidence map›Paper›PMID 32681397›Full record

ArticleCEN case reports2021

Use of tocilizumab in amyloid a nephropathy associated with Sweet syndrome: a case report and literature review.

D Giannese, F Ferro, D Moriconi, A G Bonadio, E Elefante, M F Egidi, A Cupisti, C Baldini

Abstract readCase Reports
In one paragraph

Article in CEN case reports, 2021. 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
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. New Practical Aspects of Sweet Syndrome.American journal of clinical dermatology · 2022
    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

8 authors.

D GianneseAzienda Ospedaliero Universitaria Pisana, Pisa, Toscana, Italy. d.giannese@alice.it.ORCID 0000-0002-3773-9744
F FerroUniversity of Pisa, Pisa, Italy.
D MoriconiUniversity of Pisa, Pisa, Italy.
A G BonadioAzienda Ospedaliero Universitaria Pisana, Pisa, Toscana, Italy.
E ElefanteUniversity of Pisa, Pisa, Italy.
M F EgidiAzienda Ospedaliero Universitaria Pisana, Pisa, Toscana, Italy.
A CupistiUniversity of Pisa, Pisa, Italy.
C BaldiniUniversity of Pisa, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amyloid A nephropathy is a possible complication of chronic inflammatory disease. Proteinuria and kidney failure are the main features of the disease. Tocilizumab (TCZ), an IL6-R antibody approved for rheumatoid arthritis, is a promising choice for histologically demonstrated nephropathy. We describe a case of kidney amyloid associated with Sweet syndrome treated with TCZ. The patient was affected by Sweet syndrome associated with proteinuria. Kidney biopsy showed amyloid deposits. During the follow-up, cutaneous and renal findings were refractory to many immunosuppressive regimen (cyclophosphamide, leflunomide, interferon and steroid). After few years, the patient developed rapidly progressive nephropathy associated with nephrotic syndrome (proteinuria up to 6 g/die). A second kidney biopsy was performed and it showed worsening of amyloid nephropathy. Thus, TCZ was administrated (8 mg/kg once a month) and it stabilized kidney function and induced partial remission of the nephrotic syndrome in the following 2 years.

Indexed as

AmyloidosisAntibodies, Monoclonal, HumanizedBiopsyHumansKidneyMaleMiddle AgedNephrotic SyndromeProteinuriaReceptors, Interleukin-6Remission InductionRenal InsufficiencySerum Amyloid A ProteinSweet SyndromeAntibodies, Monoclonal, HumanizedReceptors, Interleukin-6Serum Amyloid A ProteintocilizumabAmyloidosis AInterleukin 6Kidney biopsyNephrotic syndromeSweet syndromeTocilizumab

Identifiers

PMID32681397
PMCPMC7829282

What OpenQuestion holds

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Registered trials

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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.