Evidence map›Paper›PMID 33033263›Full record

ReviewNature reviews. Disease primers2020

Pyoderma gangrenosum.

Emanual Maverakis, Angelo V Marzano, Stephanie T Le, Jeffrey P Callen, Marie-Charlotte Brüggen, Emmanuella Guenova, Joachim Dissemond, Kanade Shinkai, Sinéad M Langan

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05120726 (A Novel Therapeutic Treatment of Pyoderma Gangrenosum), which is not on this map. Cited by 135 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing 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.

NCT05120726 phase4terminatednot on this mapstarted 2021, after this paper: background citation

A Novel Therapeutic Treatment of Pyoderma Gangrenosum

TypeinterventionalSponsorLouisiana State University Health Sciences Center in New OrleansRan2021 to 2024Enrolled5ConditionsPyoderma GangrenosumArmsDehydrated human amnion/chorion membrane
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  17. A febrile papulovesicular rash in a patient with pyoderma gangrenosum.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
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75 more citing papers are in PubMed but not listed here.

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

9 authors.

Emanual MaverakisDepartment of Dermatology, University of California, Davis, Sacramento, CA, USA. emaverakis@ucdavis.edu.
Angelo V MarzanoDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Stephanie T LeDepartment of Dermatology, University of California, Davis, Sacramento, CA, USA.
Jeffrey P CallenDepartment of Medicine, Division of Dermatology, University of Louisville, Louisville, KY, USA.
Marie-Charlotte BrüggenDepartment of Dermatology, Zurich University Hospital, Zurich, Switzerland.
Emmanuella GuenovaDepartment of Dermatology, Lausanne University Hospital, Lausanne, Switzerland.
Joachim DissemondDepartment of Dermatology, Venereology and Allergology, University Medical Center Essen, Essen, Germany.
Kanade ShinkaiDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Sinéad M LanganFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Funding

Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that presents with rapidly developing, painful skin ulcers hallmarked by undermined borders and peripheral erythema. Epidemiological studies indicate that the average age of PG onset is in the mid-40s, with an incidence of a few cases per million person-years. PG is often associated with a variety of other immune-mediated diseases, most commonly inflammatory bowel disease and rheumatoid arthritis. The cause of PG is not well understood, but PG is generally considered an autoinflammatory disorder. Studies have focused on the role of T cells, especially at the wound margin; these cells may support the destructive autoinflammatory response by the innate immune system. PG is difficult to diagnose as several differential diagnoses are possible; in addition to clinical examination, laboratory tests of biopsied wound tissue are required for an accurate diagnosis, and new validated diagnostic criteria will facilitate the process. Treatment of PG typically starts with fast-acting immunosuppressive drugs (corticosteroids and/or cyclosporine) to reduce inflammation followed by the addition of more slowly acting immunosuppressive drugs with superior adverse event profiles, including biologics (in particular, anti-tumour necrosis factor (TNF) agents). Appropriate wound care is also essential. Future research should focus on PG-specific outcome measures and PG quality-of-life studies.

Indexed as

HumansPyoderma GangrenosumQuality of Life

Identifiers

PMID33033263

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.