Evidence map›Paper›PMID 34157151›Full record

ArticleAllergy2022

Cutaneous and systemic hyperinflammation drives maculopapular drug exanthema in severely ill COVID-19 patients.

Yasutaka Mitamura, Daniel Schulz, Saskia Oro, Nick Li, Isabel Kolm, Claudia Lang, Reihane Ziadlou, Ge Tan, Bernd Bodenmiller, Peter Steiger and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

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  4. Drug hypersensitivity reactions: review of the state of the science for prediction and diagnosis.Toxicological sciences : an official journal of the Society of Toxicology · 2024
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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

19 authors at 5 institutions in 4 countries.

Yasutaka MitamuraSwiss Institute for Allergy Research (SIAF) Davos, Davos, Switzerland.ORCID 0000-0001-6389-9285
Daniel SchulzInstitute for Molecular Health Sciences, ETH Zurich, Zurich, Switzerland.
Saskia OroDepartment of Dermatology, Henri Mondor Hospital, Paris, France.
Nick LiDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Isabel KolmDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Claudia LangDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Reihane ZiadlouDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Ge TanSwiss Institute for Allergy Research (SIAF) Davos, Davos, Switzerland.ORCID 0000-0003-0026-8739
Bernd BodenmillerInstitute for Molecular Health Sciences, ETH Zurich, Zurich, Switzerland.
Peter SteigerFaculty of Medicine, University Zurich, Zurich, Switzerland.
Angelo MarzanoDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Nicolas de ProstDepartment of Dermatology, Henri Mondor Hospital, Paris, France.
Olivier CaudinDepartment of Dermatology, Henri Mondor Hospital, Paris, France.
Mitchell LevesqueDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Corinne StoffelDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Peter Schmid-GrendelmeierDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-3215-3370
Emanual MaverakisDepartment of Dermatology, University of California, Davis, Sacramento, CA, USA.
Cezmi A AkdisSwiss Institute for Allergy Research (SIAF) Davos, Davos, Switzerland.ORCID 0000-0001-8020-019X
Marie-Charlotte BrüggenDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-8607-6254
University of Zurich · CHHôpitaux Universitaires Henri-Mondor · FRCK-CARE · CHUniversity of California, Davis · USUniversity of Milan · IT

Funding

Mentoring Translational Scientists in Clinical Trial Immune MonitoringK24AR077313 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MAVERAKIS, EMANUAL M. · 2021 to 2025
$939k
Christine Kühne Center for Allergy Research and education (CK Care) -FoundationCOVID-19 solidarity funds of the University ZurichNIAMS NIH HHS K24 AR077313
6 · The paper itself

Abstract

backgroundCoronavirus disease-2019 (COVID-19) has been associated with cutaneous findings, some being the result of drug hypersensitivity reactions such as maculopapular drug rashes (MDR). The aim of this study was to investigate whether COVID-19 may impact the development of the MDR.

methodsBlood and skin samples from COVID-19 patients (based on a positive nasopharyngeal PCR) suffering from MDR (COVID-MDR), healthy controls, non-COVID-19-related patients with drug rash with eosinophilia and systemic symptoms (DRESS), and MDR were analyzed. We utilized imaging mass cytometry (IMC) to characterize the cellular infiltrate in skin biopsies. Furthermore, RNA sequencing transcriptome of skin biopsy samples and high-throughput multiplexed proteomic profiling of serum were performed.

resultsIMC revealed by clustering analyses a more prominent, phenotypically shifted cytotoxic CD8

conclusionA systemic cytokine storm may promote activation of Mo/Mac and cytotoxic CD8

Indexed as

COVID-19ExanthemaPharmaceutical PreparationsCD8-Positive T-LymphocytesHumansProteomicsSARS-CoV-2Pharmaceutical PreparationscoronavirusCOVID-19drug-induced maculopapular exanthemaSARS-CoV-2

Identifiers

PMID34157151
PMCPMC8441838
OpenAlexW3134534160

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.