Evidence map›Paper›PMID 33518567›Full record

ReviewInternal medicine (Tokyo, Japan)2021

Refractory IgG4-related Pleural Disease with Chylothorax: A Case Report and Literature Review.

Komei Sakata, Jun Kikuchi, Katsura Emoto, Tomomi Kotaki, Yuichiro Ota, Naoshi Nishina, Hironari Hanaoka, Kotaro Otomo, Katsuya Suzuki, Yuko Kaneko and 1 more

Open access · diamondAbstract readCase ReportsReview
In one paragraph

Review in Internal medicine (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

11 authors at 1 institution in 1 country.

Komei SakataDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Jun KikuchiDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Katsura EmotoDivision of Diagnostic Pathology, Keio University School of Medicine, Japan.
Tomomi KotakiDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Yuichiro OtaDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Naoshi NishinaDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Hironari HanaokaDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Kotaro OtomoDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Katsuya SuzukiDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Yuko KanekoDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Tsutomu TakeuchiDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Japan.
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We herein report a rare case of a 66-year-old man with refractory chylothorax. Although he had been treated with moderate doses of prednisolone (PSL) on suspicion of pleuritis with Sjögren syndrome, the pleural effusion expanded after the reduction of PSL. Further workup including histopathological examinations of pleura led to the diagnosis of IgG4-RD with bilateral chylothorax without any leakage from the thoracic duct. Combination therapy with high-dose PSL plus rituximab successfully decreased the pleural effusion. This is a very rare case of IgG4-related pleuritis with chylothorax and the first report of its successful treatment with rituximab.

Indexed as

ChylothoraxImmunoglobulin G4-Related DiseasePleural EffusionPleurisyAgedHumansImmunoglobulin GMalePleuraImmunoglobulin GchylothoraxIgG4-related diseasepleuritisrituximab

Identifiers

PMID33518567
PMCPMC8313917
OpenAlexW3127089421

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.