Evidence map›Paper›PMID 33743602›Full record

ArticleBMC gastroenterology2021

Whipple's disease: the great masquerader-a high level of suspicion is the key to diagnosis.

Nikolaos Melas, Rasjan Amin, Paula Gyllemark, Amil Haji Younes, Sven Almer

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Deciphering whipple's disease complexity.Clinical and experimental medicine · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. ExploringFrontiers in pharmacology · 2025
    Article
  8. Whipple Disease With Central Nervous System Involvement.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
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

5 authors at 4 institutions in 1 country.

Nikolaos MelasDepartment of Gastroenterology and Emergency Care, Gävle Hospital, Gävle, Sweden.ORCID http://orcid.org/0000-0002-6078-1764
Rasjan AminDepartment of Anesthesiology and Intensive Care Unit, S:T Göran Hospital, Stockholm, Sweden.
Paula GyllemarkDepartment of Infectious Diseases, Region Jönköping County, Jönköping, Sweden.
Amil Haji YounesDepartment of Gastroenterology and Emergency Care, Gävle Hospital, Gävle, Sweden.
Sven AlmerDepartment of Medicine, Karolinska Institutet, Solna, Sweden. sven.almer@ki.se.ORCID http://orcid.org/0000-0001-9334-1821
Gävle Hospital · SEKarolinska University Hospital · SELinköping University · SESaint Göran Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhipple's disease is a chronic infectious disease that primarily affects the small intestine, but several organs can simultaneously be involved. The disease is caused by a gram-positive bacterium called Tropheryma whipplei. The disease is difficult to suspect because it is rare with unspecific and long-term symptoms; it can be lethal if not properly treated. CASE PRESENTATION: We here present three patients who presented with a plethora of symptoms, mainly long-standing seronegative arthritis and gastrointestinal symptoms in the form of diarrhea with blood, weight loss, fever, and lymphadenopathy. They were after extensive investigations diagnosed with Whipple's disease, in two of them as long as 8 years after the first occurrence of joint manifestations. The diagnosis was made by PCR targeting the T. whipplei 16S rRNA gene from small bowel specimen in all three patients, and, besides from histopathologic findings from the duodenum and distal ileum in one and mesenteric lymph nodes in another patient.

conclusionsThis report aims to raise awareness of a very rare disease that presents with a combination of symptoms mimicking other and significantly more common diseases.

Indexed as

Whipple DiseaseAnti-Bacterial AgentsDuodenumHumansRNA, Ribosomal, 16STropherymaAnti-Bacterial AgentsRNA, Ribosomal, 16SArthritisGastrointestinal symptomsTropheryma whippleiWhipple’s disease

Identifiers

PMID33743602
PMCPMC7980341
OpenAlexW3137973814

What OpenQuestion holds

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LicenceCC BY
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.