Evidence map›Paper›PMID 32918165›Full record

ReviewJournal of clinical immunology2020

Long-Term Survival after Progressive Multifocal Leukoencephalopathy in a Patient with Primary Immune Deficiency and NFKB1 Mutation.

Emke Maréchal, Karolien Beel, Roel Crols, Danielle Hernalsteen, Barbara Willekens

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  3. Article
  4. Article
  5. 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

5 authors at 3 institutions in 1 country.

Emke MaréchalDepartment of Neurology, ZNA Middelheim, Lindendreef 1, 2020, Antwerp, Belgium. emke.marechal@zna.be.ORCID http://orcid.org/0000-0001-6894-7725
Karolien BeelDepartment of Hematology, ZNA Middelheim, Antwerp, Belgium.
Roel CrolsDepartment of Neurology, ZNA Middelheim, Lindendreef 1, 2020, Antwerp, Belgium.
Danielle HernalsteenDepartment of Radiology, ZNA Middelheim, Antwerp, Belgium.
Barbara WillekensDepartment of Neurology, Antwerp University Hospital, Antwerp, Belgium.
ZNA Middelheim Hospital · BEAntwerp University Hospital · BEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the development of progressive multifocal leukoencephalopathy (PML) in a patient with primary immune deficiency (PID) due to a NFKB1 (nuclear factor kB subunit 1) mutation, who was treated successfully with a combination of mirtazapine and mefloquine.

methodsWe've based the treatment of our patient on literature research and provide a review of PML in CVID patients.

resultsOnly a few reports have been published on the occurrence of PML in PID. PML is mainly observed in patients with reduced cellular immunity, which was not the case in our patient. Successful treatment options in this population are limited. Though severely disabled, our patient still survives, more than 4 years after symptom onset and shows consistent improvement on MRI (magnetic resonance imaging) and CSF (cerebrospinal fluid) analysis.

conclusionWe conclude that some patients with PML might be treatable and can show long-term survival although neurological deficits remain. Involvement of humoral immunity in the pathogenesis of PML as well as the possible role of NFKB1 mutations in response to specific pathogens deserves further investigation.

Indexed as

MutationDisease ManagementDisease SusceptibilityGenetic Predisposition to DiseaseHumansLeukoencephalopathy, Progressive MultifocalMefloquineMirtazapineNF-kappa B p50 SubunitPrimary Immunodeficiency DiseasesTreatment OutcomeMefloquineMirtazapineNF-kappa B p50 SubunitNFKB1 protein, humanCommon variable immunodeficiencyMefloquineMirtazapineNFKBPIDPMLProgressive multifocal Leukoencephalopathy

Identifiers

PMID32918165
OpenAlexW3085954390

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.