Evidence map›Paper›PMID 33637491›Full record

ArticleBMJ case reports2021

Hepatitis C during disease modifying therapy with Fingolimod for Relapsing Remitting Multiple Sclerosis: diagnosis and treatment.

Aram Aslanyan, Zoheb Anwar-Hashim, Rekha Siripurapu, Tatiana Mihalova

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 55% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Aram AslanyanManchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK aram.aslanyan@doctors.org.uk.
Zoheb Anwar-HashimGastroenterology Department, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
Rekha SiripurapuManchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK.
Tatiana MihalovaManchester Centre for Clinical Neurosciences, Salford Royal NHS Foundation Trust, Salford, UK.
Salford Royal NHS Foundation Trust · GBBlackpool Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of 48-year-old woman with relapsing remitting multiple sclerosis (MS), who switched disease modifying therapy from Copaxone to Fingolimod due to her clinical and radiological MS disease progression. Unexpectedly after 2.5 years of stable MS symptoms and liver function tests (LFTs), we noted deranged LFTs during routine testing. Additional investigations showed hepatitis C positivity, genotype 3. It is likely a case of hepatitis C reactivation secondary to prolonged immunosuppressive effects of Fingolimod. Although the increased risk of viral reactivation related to varicella zoster virus is known to occur with Fingolimod treatment, to our knowledge, this is only the second case of hepatitis C disease activity reported with Fingolimod treatment. We would like to raise the awareness of hepatitis C viral reactivation as a possible complication of prolonged immunosuppression with Fingolimod.

Indexed as

Hepatitis CMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingFemaleFingolimod HydrochlorideHumansImmunosuppressive AgentsMiddle AgedFingolimod HydrochlorideImmunosuppressive Agentsmultiple sclerosisneurology (drugs and medicines)

Identifiers

PMID33637491
PMCPMC7919550
OpenAlexW3129871144

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.