Evidence map›Paper›PMID 33757559›Full record

ArticleItalian journal of pediatrics2021

Erythropoietin therapy in a case of neonatal anemia after exposure to natalizumab throughout pregnancy.

Elisabetta Godano, Fabio Barra, Alessandra Allodi, Antonella Ferraiolo, Alice Laroni, Giovanni Novi, Giovanni Luigi Mancardi, Claudio Gustavino, Cesare Arioni

Open access · goldAbstract readCase Reports
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors at 3 institutions in 1 country.

Elisabetta GodanoNeonatology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Fabio BarraAcademic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy. fabio.barra@icloud.com.ORCID http://orcid.org/0000-0003-4117-6603
Alessandra AllodiNeonatology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Antonella FerraioloUnit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Alice LaroniAcademic Unit of Neurology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Giovanni NoviDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child University of Genova, Genoa, Italy.
Giovanni Luigi MancardiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child University of Genova, Genoa, Italy.
Claudio GustavinoUnit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Cesare ArioniNeonatology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Ospedale Policlinico San Martino · ITIstituti Clinici Scientifici Maugeri · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNatalizumab is a monoclonal antibody approved for the treatment of patients with relapsing-remitting multiple sclerosis. According to the current clinical recommendations, its use during pregnancy should be carefully evaluated only in women with highly active disease who plan a pregnancy or have an unplanned pregnancy, after accurate counseling about eventual maternal disease relapse due to therapy suspension. CASE PRESENTATION: This brief case report describes a case of documented anemia that we observed in a newborn whose mother with relapsing-remitting multiple sclerosis was treated with an extended dosing protocol of natalizumab throughout pregnancy. The newborn received the infusion of erythropoietin every seven days from the fortieth day of life; subsequently, the status of anemia underwent clinical resolution.

conclusionsThis case report confirmed that natalizumab can cause disorders of hematopoiesis, including anemia, thrombocytopenia, or pancytopenia, in newborns of patients treated during pregnancy. A multidisciplinary team, including experienced pediatricians and pediatric hematologists, has a critical role in managing newborns delivered by women, being treated with natalizumab for treating relapsing-remitting multiple sclerosis during pregnancy.

Indexed as

Maternal-Fetal ExchangeAnemia, NeonatalErythropoietinFemaleHumansImmunologic FactorsInfant, NewbornInfusions, IntravenousMultiple Sclerosis, Relapsing-RemittingNatalizumabPregnancyErythropoietinImmunologic FactorsNatalizumabAnemiaErythropoietinMultiple sclerosisNatalizumabPregnancy

Identifiers

PMID33757559
PMCPMC7987111
OpenAlexW3136867617

What OpenQuestion holds

Textmetadata
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.