Evidence map›Paper›PMID 33370944›Full record

ArticleBMJ case reports2020

Sustained clinical response to infliximab in refractory Cronkhite-Canada syndrome.

Caroline Di Jiang, Helen Myint, Andy Tie, Nigel H Stace

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ 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.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 35% 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, 9 citations in OpenAlex.

  1. Article
  2. Cronkhite-Canada Syndrome Presenting as Diarrhea and Weight Loss: A Case Report and Literature Review.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
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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

4 authors at 3 institutions in 1 country.

Caroline Di JiangGastroenterology, Wellington Hospital, Wellington, New Zealand carolinedijiang@gmail.com.
Helen MyintGastroenterology, Auckland City Hospital, Auckland, New Zealand.
Andy TieDepartment of Pathology and Molecular Medicine, University of Otago, Wellington, New Zealand.
Nigel H StaceDepartment of Medicine, University of Otago, Wellington, New Zealand.
University of Otago · NZAuckland City Hospital · NZWellington Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 59-year-old man with refractory Cronkhite-Canada syndrome (CCS) had poor clinical response to high-dose intravenous steroids, azathioprine, total parenteral nutrition and best supportive care. He remained highly symptomatic with abdominal pain, diarrhoea, recurrent sepsis and profound weight loss. Infliximab induction was given as rescue therapy, with marked clinical improvement observed within 3 weeks. This allowed steroid taper. Within 12 months of infliximab therapy, he achieved complete clinical remission and returned to his baseline weight and a full oral diet. Sequential endoscopies observed significant regression of previous marked gastrointestinal polyposis, including histological remission on colonic biopsies at 3.5 and 5 years of treatment. He currently remains in remission following 6 years of combination therapy with 5 mg/kg 8 weekly infliximab and azathioprine, and there is ongoing discussion with regard to the benefits and risks of therapy de-escalation. This case demonstrates the effectiveness of infliximab in inducing and maintaining remission in refractory CCS.

Indexed as

AzathioprineColonColonoscopyDrug ResistanceGastrointestinal AgentsGastroscopyGlucocorticoidsHumansImmunosuppressive AgentsInduction ChemotherapyInfliximabIntestinal MucosaIntestinal PolyposisMaleMiddle AgedPyloric AntrumAzathioprineGastrointestinal AgentsGlucocorticoidsImmunosuppressive AgentsInfliximabdrugs: gastrointestinal systemgastrointestinal systemimmunological products and vaccines

Identifiers

PMID33370944
PMCPMC7754659
OpenAlexW3115440646

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.