Evidence map›Paper›PMID 32935774›Full record

ArticleRevista da Sociedade Brasileira de Medicina Tropical2020

Rationale use of Thalidomide in erythema nodosum leprosum - A non-systematic critical analysis of published case reports.

Pugazhenthan Thangaraju, Sajitha Venkatesan, Meenalotchini Gurunthalingam, Shoban Babu, Tamilselvan T

Open access · diamondAbstract read
In one paragraph

Article in Revista da Sociedade Brasileira de Medicina Tropical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 10 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 3 institutions in 1 country.

Pugazhenthan ThangarajuDepartment of Pharmacology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.ORCID http://orcid.org/0000-0002-4090-2004
Sajitha VenkatesanDepartment of Microbiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Meenalotchini GurunthalingamDepartment of Pharmacology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Shoban BabuDepartment of Pharmacology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Tamilselvan TSchool of information technology, SRM university, Sikkim, India.
All India Institute of Medical Sciences Raipur · INAll India Institute of Medical Sciences Jodhpur · INSRM University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThalidomide is an anti- tumor necrosis factor alpha (TNF-a) drug used mainly in the management of moderate to severe form of Erythema Nodosum Leprosum (ENL). Because of its teratogenic potential it has to be used under proper supervision. Our critical analysis tries to look into the rationale with which it has been used by means of case reports on lepra reaction.

methodsWe looked for the case reports between December 2005 to June 2019 in databases like Pubmed, Embase and other relevant resources. We used search words like "erythema nodosum leprosum(ENL)", "thalidomide", "case report" in different combinations to get relevant reports that focus on thalidomide usage atleast once at any time point during management. The information extracted were indication of thalidomide use, dose, response, outcome, complication if any, along with all the demographic details and geographical distribution.

resultsWe found 41 case reports eligible for analysis.The information was critically evaluated. From the analysis it was found that 7 of the case report mentioned the exact indication, 4 case report showed irrational use of thalidomide in the case of neuritis without use of steroids, 7 showed proper use of Clofazimine prior to thalidomide initiation, 26 case report showed case report of rationale dose range and in 4 case reports clofazimine was used prior to thalidomide along with the rational dose of thalidomide.

conclusionsThis analysis helps to guide the rationale use of thalidomide focussing on few important points that anyone should keep in mind while managing a case of ENL.

Indexed as

Erythema NodosumLeprosy, LepromatousLeprosy, MultibacillaryAdolescentAdultAgedChildChild, PreschoolFemaleHumansInfantLeprostatic AgentsMaleMiddle AgedThalidomideYoung AdultLeprostatic AgentsThalidomide

Identifiers

PMID32935774
PMCPMC7491565
OpenAlexW3084821883

What OpenQuestion holds

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LicenceCC BY
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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.