Evidence map›Paper›PMID 34627357›Full record

ArticleJournal of medical case reports2021

Primary biliary cirrhosis associated with myasthenia gravis after postpartum: a case report.

Lulu Zhang, Dongxue Ding, Liqiang Yu, Huan Qi, Chunru Han, Jianhua Jiang, Juean Jiang

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Lulu ZhangDepartment of Neurology, First Affiliated Hospital of Soochow University, Suzhou, 215031, China.
Dongxue DingDepartment of Neurology, First Affiliated Hospital of Soochow University, Suzhou, 215031, China.
Liqiang YuDepartment of General Medicine, First Affiliated Hospital of Soochow University, Suzhou, 215031, China.
Huan QiDepartment of General Medicine, First Affiliated Hospital of Soochow University, Suzhou, 215031, China.
Chunru HanDepartment of Neurology, First Affiliated Hospital of Soochow University, Suzhou, 215031, China.
Jianhua JiangDepartment of Neurology, First Affiliated Hospital of Soochow University, Suzhou, 215031, China. corajiang111@126.com.
Juean JiangDepartment of General Medicine, First Affiliated Hospital of Soochow University, Suzhou, 215031, China. jiangjuean@163.com.
First Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune diseases refers to a class of diseases involving abnormal immune response of human body and tissue damage caused by the dysregulation of autoimmune balance or destruction of immune tolerance. Recent research has revealed that the occurrence of autoimmune diseases is influenced by genetic, hormonal, immunological, and environmental factors. As sex hormone levels change obviously during pregnancy and postpartum, the morbidity and recurrence rate of autoimmune diseases increase during this period. CASE PRESENTATION: A 31-year-old Asian woman was admitted to our hospital for myasthenia gravis and treated with methylprednisolone and pyridostigmine bromide 3 months postpartum. Physical examination and laboratory inspection after admission suggested that the patient had primary biliary cirrhosis. Subsequently, azathioprine was added to the treatment, and the symptoms of both diseases were successfully controlled.

conclusionsThis case exhibits a rare condition of myasthenia gravis combined with primary biliary cirrhosis postpartum. Given the fluctuation of the immune status during the postpartum period, combined autoimmune diseases need to be taken into account when patients develop clinical symptoms of an autoimmune disease. Therefore, detailed physical and laboratory examination can help to prevent the missed diagnosis of these diseases.

Indexed as

Liver Cirrhosis, BiliaryMyasthenia GravisAdultFemaleHumansNeoplasm Recurrence, LocalPostpartum PeriodPregnancyPyridostigmine BromidePyridostigmine BromideMyasthenia gravisPostpartumPrimary biliary cirrhosis

Identifiers

PMID34627357
PMCPMC8502364
OpenAlexW3205203338

What OpenQuestion holds

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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.