Evidence map›Paper›PMID 34344201›Full record

ArticleJournal of investigative medicine high impact case reports

A Case of Guillain-Barré Syndrome and Stevens-Johnson Syndrome/Toxic Epidermal Necrosis Overlap After Pembrolizumab Treatment.

Tomoyo Oguri, Shinji Sasada, Satoko Shimizu, Risa Shigematsu, Yumi Tsuchiya, Kota Ishioka, Saeko Takahashi, Koichi Oki, Yoshifumi Kimura, Reishi Seki and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Pembrolizumab-induced Stevens-Johnson syndrome.Anais brasileiros de dermatologia
    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

12 authors at 2 institutions in 1 country.

Tomoyo OguriTokyo Saiseikai Central Hospital, Tokyo, Japan.ORCID 0000-0002-7655-1517
Shinji SasadaTokyo Saiseikai Central Hospital, Tokyo, Japan.
Satoko ShimizuTokyo Saiseikai Central Hospital, Tokyo, Japan.
Risa ShigematsuTokyo Saiseikai Central Hospital, Tokyo, Japan.
Yumi TsuchiyaTokyo Saiseikai Central Hospital, Tokyo, Japan.
Kota IshiokaTokyo Saiseikai Central Hospital, Tokyo, Japan.
Saeko TakahashiTokyo Saiseikai Central Hospital, Tokyo, Japan.
Koichi OkiTokyo Saiseikai Central Hospital, Tokyo, Japan.
Yoshifumi KimuraTokyo Saiseikai Central Hospital, Tokyo, Japan.
Reishi SekiTokyo Saiseikai Central Hospital, Tokyo, Japan.
Shigemichi HiroseTokyo Saiseikai Central Hospital, Tokyo, Japan.
Morio NakamuraTokyo Saiseikai Central Hospital, Tokyo, Japan.
Saiseikai Central Hospital · JPSt. Marianna University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 76-year-old man was admitted to our hospital with Guillain-Barré syndrome (GBS), presenting with facial palsy, dysarthria, and dysphagia as Grade 3 immune-related adverse events (irAEs) due to pembrolizumab administration for Stage IV lung adenocarcinoma. Although prednisolone (1 mg/kg) was started for GBS due to the irAE, dark erythema and skin eruptions appeared on the patient's torso. Then erosion was observed on 18% of the body surface area and skin biopsy was performed. Finally, the patient was diagnosed with Stevens-Johnson syndrome/toxic epidermal necrosis overlap. Intravenous immunoglobulin therapy was started, and the skin symptoms improved, with the erosion becoming epithelial. He died of aspiration pneumonia related to GBS, although his neurological symptoms had improved after steroid and intravenous immunoglobulin therapy. This is the first reported case of pembrolizumab-induced GBS and Stevens-Johnson syndrome/toxic epidermal necrosis overlap. It is necessary to be careful that the possibility of other severe irAEs may occur simultaneously.

Indexed as

Guillain-Barre SyndromeStevens-Johnson SyndromeAgedAntibodies, Monoclonal, HumanizedHumansMaleNecrosisAntibodies, Monoclonal, HumanizedpembrolizumabGuillain-Barré syndromeimmune-related adverse eventpembrolizumabStevens-Johnson syndrometoxic epidermal necrosis

Identifiers

PMID34344201
PMCPMC8358493
OpenAlexW3191310168

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.