Evidence map›Paper›PMID 33911647›Full record

ArticleAnnals of dermatology2019

Severe Cutaneous Adverse Reactions: A Single-Center Retrospective Study of 173 Patients in China.

Zhongyi Xu, Jie Shen, Yiwen Yang, Ruoyue Yuan, Leihong Flora Xiang, Chengfeng Zhang

Open access · hybridAbstract read
In one paragraph

Article in Annals of dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 31% 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, 7 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Zhongyi XuDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-8158-0825
Jie ShenDepartment of Cancer Prevention, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0003-2504-4491
Yiwen YangDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0003-0145-7283
Ruoyue YuanDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-6970-8611
Leihong Flora XiangDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0003-2080-0550
Chengfeng ZhangDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0002-1302-5667
Fudan University · CNFudan University Shanghai Cancer Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere cutaneous adverse reactions (SCAR) to drugs are a crucial public health issue and the use of systemic corticosteroids in SCAR has been controversial.

objectiveTo analyze clinical features, causative drugs, treatment, outcomes, and prognostic factors of SCAR in the case-series of 173 patients, and add more information to the debate of using systemic corticosteroids in SCAR management.

methodsA retrospective study of 173 SCAR patients diagnosed with drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) or acute generalized exanthematous pustulosis (AGEP) at a tertiary care institution in China between January 2014 and December 2017 was conducted.

resultsOf 173 patients, allopurinol, carbamazepine, and antibiotics are the most frequently implicated drugs for DRESS (40.4%), SJS/TEN (26.0%), and AGEP (40.0%) respectively. Moreover, there is a strongly negative correlation between early corticosteroids use and the progression (

conclusionPrompt short-course systemic corticosteroids use is associated with early-stage skin lesions remission without influencing the disease mortality. Lymphadenopathy and eosinophilia were the independent poor prognostic factors of SCAR.

Indexed as

Acute generalized exanthematous pustulosisDrug reaction with eosinophilia and systemic symptomsStevens-Johnson syndromeSystemic corticosteroids treatmentToxic epidermal necrolysis

Identifiers

PMID33911647
PMCPMC7992557
OpenAlexW2972548433

What OpenQuestion holds

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Registered trials

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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.