Evidence map›Paper›PMID 33381454›Full record

ArticleFrontiers in oncology2020

Case Report: Lymphocytosis Associated With Fatal Hepatitis in a Thymoma Patient Treated With Anti-PD1: New Insight Into the Immune-Related Storm.

Antonella Argentiero, Antonio Giovanni Solimando, Valentina Ungaro, Mariarita Laforgia, Sabino Strippoli, Dario Pinto, Antonio Negri, Simona Ferraiuolo, Alfredo Zito, Michele Guida

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  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

10 authors at 2 institutions in 1 country.

Antonella ArgentieroMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Antonio Giovanni SolimandoMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Valentina UngaroPharmacy Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Mariarita LaforgiaPharmacy Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Sabino StrippoliRare Tumors and Melanoma Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Dario PintoRadiology Unit, Ricerche Radiologiche "Maggialetti", Molfetta, Italy.
Antonio NegriUnit of Hematology and Cell Therapy, Laboratory of Hematological Diagnostics and Cell Characterization, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Simona FerraiuoloPharmacy Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Alfredo ZitoPathology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Michele GuidaRare Tumors and Melanoma Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Tumori Bari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances in tumor immunotherapy have made it possible to efficiently unleash immune effectors, reacting against neoplastic cells. Although these approaches primarily aim to eradicate malignancy, immune-related adverse events (irAEs) often influence patients' prognosis, constituting a new spectrum of side effects. Taking into account the typical microenvironment and the intricate equilibrium between the anti-tumor response and the immune cells, the thymoma constitutes a unicum in the immune-oncology field. We report a fatal immune-mediated adverse events' storm in a thymoma patient treated with Pembrolizumab, leading to hepatotoxicity accompanied by lymphocytosis, thrombocytopenia, and thyroid dysfunction, unveiling a novel potential pathophysiological effect of immunotherapy. The clinical proficiency of the immune checkpoint inhibitors in thymoma patients warrants timely prevention and management of off-target consequences in order to optimize this promising therapeutic option. This case report describes a unique consequence of irAEs, emerging as a red flag warranting a multidisciplinary approach.

Indexed as

hepatitisimmune-microenvironmentimmune related adverse eventsimmunotherapylymphocytosispembrolizumabthymoma

Identifiers

PMID33381454
PMCPMC7768075
OpenAlexW3112623984

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.