Evidence map›Paper›PMID 32787461›Full record

ArticleJournal of investigative medicine high impact case reports

Hydroxychloroquine-Induced Toxic Myopathy Causing Diaphragmatic Weakness and Lung Collapse Requiring Prolonged Mechanical Ventilation.

Julie Pillittere, Sundus Mian, Timothy E Richardson, Andras Perl

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 1 country.

Julie PillittereState University of New York, Upstate Medical University, Syracuse, NY, USA.
Sundus MianState University of New York, Upstate Medical University, Syracuse, NY, USA.
Timothy E RichardsonState University of New York, Upstate Medical University, Syracuse, NY, USA.
Andras PerlState University of New York, Upstate Medical University, Syracuse, NY, USA.
SUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 42-year-old woman with juvenile idiopathic arthritis was treated with anakinra, corticosteroids, and hydroxychloroquine when she developed chronic hypoxic respiratory myopathy. She was admitted to the intensive care unit for acute hypercapnic respiratory failure and required prolonged intubation, subsequent tracheostomy, and long-term ventilatory support due to multiple failed spontaneous breathing trials after discontinuation of anakinra and steroids. Muscle biopsy revealed type II fiber atrophy with the accumulation of autophagosomes and vacuoles presenting as curvilinear bodies, elevated MHC class I antigen expression, and infiltration by CD68+ macrophages and CD8+ T cells. Type II fiber atrophy was attributed to corticosteroid use and curvilinear bodies due to blockade of autophagy by hydroxychloroquine. After hydroxychloroquine was discontinued, the patient recovered to her prehospitalization baseline.

Indexed as

Respiration, ArtificialAdrenal Cortex HormonesAdultAntirheumatic AgentsFemaleHumansHydroxychloroquineInterleukin 1 Receptor Antagonist ProteinMuscle WeaknessMuscular DiseasesQuadriceps MuscleRespiratory InsufficiencyTomography, X-Ray ComputedTracheostomyAdrenal Cortex HormonesAntirheumatic AgentsHydroxychloroquineInterleukin 1 Receptor Antagonist Proteinatrophyautophagycorticosteroidscurvilinear bodyhydroxychloroquinejuvenile inflammatory arthritismyopathynecrosistype II fiber

Identifiers

PMID32787461
PMCPMC7427040
OpenAlexW3049199633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.