Evidence map›Paper›PMID 33664035›Full record

ArticleBMJ case reports2021

Novel case of a scleroderma-mimicking syndrome associated with gastrointestinal stromal tumour.

Zaran Ahmad Butt, Wan Lin Ng, Kamal Osman, Donough Howard

Open access · hybridAbstract 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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.

Zaran Ahmad ButtDepartment of Rheumatology, Beaumont Hospital, Dublin, Leinster, Ireland svcsm4butt.zaran@gmail.com.
Wan Lin NgDepartment of Rheumatology, Beaumont Hospital, Dublin, Leinster, Ireland.
Kamal OsmanDepartment of Rheumatology, Beaumont Hospital, Dublin, Leinster, Ireland.
Donough HowardDepartment of Rheumatology, Beaumont Hospital, Dublin, Leinster, Ireland.
Beaumont Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a 54-year-old man who developed an atypical systemic syndrome involving Raynaud's phenomenon, pulmonary fibrosis and skin thickening. These features were initially suggestive of newly diagnosed scleroderma. However, he displayed atypical clinical features of same, antinuclear antibody was negative and symptoms were refractory to various immunosuppressive therapies. CT imaging revealed a gastric mass, which later proved to be a gastrointestinal stromal tumour (GIST). Resection of the GIST leads to minimal symptomatic improvement. Surveillance imaging 1 year later revealed metastatic deposits. He was subsequently initiated on imatinib therapy, which led to a rapid improvement in fibrotic changes within weeks. While there have been previous descriptions of paraneoplastic fibrotic disorders, this is the first description of a scleroderma mimic in the setting of a GIST. It highlights an important potential overlap in the pathogenesis of these disease processes and the potential efficacy of tyrosine kinase inhibitors for scleroderma-like fibrotic disorders.

Indexed as

Gastrointestinal Stromal TumorsRaynaud DiseaseScleroderma, LocalizedScleroderma, SystemicStomach NeoplasmsHumansImatinib MesylateMaleMiddle AgedImatinib Mesylatebiological agentsconnective tissue diseasedrugs: musculoskeletal and joint diseasesgastric cancermusculoskeletal syndromes

Identifiers

PMID33664035
PMCPMC7934738
OpenAlexW3134138937

What OpenQuestion holds

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LicenceCC BY-NC
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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.