Evidence map›Paper›PMID 33078093›Full record

ArticleRespiratory medicine case reports2020

COVID-19 in a patient with a flare of systemic lupus erythematosus: A rare case-report.

Abdulrahman Alharthy, Fahad Faqihi, Nasir Nasim, Alfateh Noor, Saima Akhtar, Ahmed Balshi, Abdullah Balhamar, Saleh A Alqahtani, Ziad A Memish, Dimitrios Karakitsos

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

10 authors at 3 institutions in 2 countries.

Abdulrahman AlharthyCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Fahad FaqihiCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Nasir NasimCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Alfateh NoorCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Saima AkhtarCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Ahmed BalshiCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Abdullah BalhamarCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
Saleh A AlqahtaniDepartment of Medicine, The Johns Hopkins University Hospital, Baltimore, MD, USA.
Ziad A MemishResearch & Innovation Centre, King Saud Medical City, Riyadh, Saudi Arabia.
Dimitrios KarakitsosCritical Care Department, King Saud Medical City, Riyadh, Saudi Arabia.
King Saud Medical City · SAJohns Hopkins University · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a rare case-report of a young female with systemic lupus erythematosus and end-stage kidney disease (on maintenance hemodialysis) who was admitted to our intensive care unit due to life-threatening COVID-19. The patient was diagnosed with a flare of lupus; while being on maintenance hydroxychloroquine therapy. However, after the administration of steroids she made an uneventful recovery and was discharged home. In this report, the diagnostic dilemmas and the therapeutic challenges due to the overlapping clinical, imaging, and laboratory findings between lupus and COVID-19 pneumonitis are outlined. In conclusion, patients with lupus may be affected by COVID-19 despite the administration of hydroxychloroquine. The administration of steroids may have a beneficial effect on mitigating both the flare of SLE and the COVID-19 associated hyperinflammation.

Indexed as

Acute respiratory failureCOVID-19End-stage kidney diseaseHydroxychloroquineSteroid therapySystemic lupus erythematosus

Identifiers

PMID33078093
PMCPMC7557168
OpenAlexW3092983240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.