Evidence map›Paper›PMID 33515066›Full record

ArticleJournal of neurology2021

Sneddon syndrome: a comprehensive clinical review of 53 patients.

N L P Starmans, M R van Dijk, L J Kappelle, C J M Frijns

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. An unusual case of intracerebral hemorrhage: exploring the link with Sneddon's syndrome.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Article
  5. Comprehensive insights of Sneddon syndrome: A clinical perspective.Journal of central nervous system disease · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Sneddon's Syndrome and the Capability to Work: With Regard to a Clinical Case.Indian journal of occupational and environmental medicine
    Article
  11. 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

4 authors at 1 institution in 1 country.

N L P StarmansDepartment of Neurology and Neurosurgery, University Medical Centre, Room G03.232, PO Box 85500, 3508 GA, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-8033-7126
M R van DijkDepartment of Pathology, University Medical Centre Utrecht, Utrecht, The Netherlands.
L J KappelleDepartment of Neurology and Neurosurgery, University Medical Centre, Room G03.232, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
C J M FrijnsDepartment of Neurology and Neurosurgery, University Medical Centre, Room G03.232, PO Box 85500, 3508 GA, Utrecht, The Netherlands. c.j.m.frijns@umcutrecht.nl.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of livedo reticularis in patients with ischaemic stroke is associated with Sneddon syndrome (SS). Our objective was to present the clinical features of SS patients and to assess the role of antiphospholipid antibodies (APL).

methodsConsecutive patients, diagnosed with SS between 1996 and 2017, were retrospectively reviewed for their demographic, neurological, dermatological, cardiac and extracerebral vascular features. Diagnosis of SS was made only if other causes of stroke were excluded. Patients with and without APL were included and compared for their clinical features.

resultsFifty-three patients (79% female) were included, of whom 14 patients were APL-positive. Median age at diagnosis was 40 years. Approximately 60% of the patients had ≥ 3 cardiovascular risk factors. There were 129 previous vascular events (66 ischaemic strokes, 62 TIAs and 1 amaurosis fugax) during a median period of 2 years between the first event and diagnosis of SS. Skin biopsy was positive for SS in 29 patients (67%), mostly showing a thickened vessel wall with neovascularization in the deep dermis. After a median follow-up of 28 months, 4 patients, either on antiplatelet or oral anticoagulation therapy, had a recurrent stroke. There were few statistically significant differences between APL-negative and APL-positive patients, including the number of vascular events before diagnosis.

conclusionsSS predominantly affects young women with a relatively large number of cardiovascular risk factors. Clinical features of SS are comparable across different studies. We found no differences in the main clinical features between APL-positive and APL-negative patients.

Indexed as

Antiphospholipid SyndromeBrain IschemiaSneddon SyndromeStrokeAntibodies, AntiphospholipidFemaleHumansMaleRetrospective StudiesAntibodies, AntiphospholipidAntiphospholipid antibodiesLivedo reticularisRisk factorsSneddon syndromeStroke

Identifiers

PMID33515066
PMCPMC8217002
OpenAlexW3122381208

What OpenQuestion holds

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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.