Evidence map›Paper›PMID 35391603›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

A case of anti-HMGCR myopathy triggered by sodium/glucose co-transporter 2 (SGLT2) inhibitors.

Manuela Stella, Erica Biassoni, Chiara Fiorillo, Marina Grandis, Francesca Mattioli, Massimo Del Sette

Abstract readCase Reports
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. 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

6 authors at 3 institutions in 1 country.

Manuela Stella *Clinical Pharmacology Unit, EO Ospedali Galliera, Mura delle Cappuccine, 14, 16128, Genoa, Italy.
Erica Biassoni *Neurology Unit, EO Ospedali Galliera, Mura delle Cappuccine, 14, 16128, Genoa, Italy.
Chiara FiorilloDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal and Infantile Sciences, University of Genova, Unit of Neurology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Marina GrandisDepartment of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal and Infantile Sciences, University of Genova, Unit of Neurology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Francesca MattioliClinical Pharmacology Unit, EO Ospedali Galliera, Mura delle Cappuccine, 14, 16128, Genoa, Italy. francesca.mattioli@unige.it.ORCID http://orcid.org/0000-0001-8460-0262
Massimo Del SetteNeurology and Stoke Unit, IRCCS Ospedale Policlinico San Martino, L.go R. Benzi, 10, 16122, Genoa, Italy.
Ente Ospedaliero Ospedali Galliera · ITOspedale Policlinico San Martino · ITIstituto Giannina Gaslini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory myopathies, including immune-mediated necrotizing myopathy (IMNM), are a rare and heterogeneous group of autoimmune diseases which can even involve extramuscular districts and seriously impact patients' quality of life. We report the case of a 76-year-old woman who developed muscle weakness, fatigue, and increased CK, following treatment with dapagliflozin, a sodium/glucose co-transporter 2 (SGLT2) inhibitor, and metformin. Neurophysiology, muscle biopsy, and antibody dosage confirmed the diagnosis of IMNM. The temporal correlation between the onset of clinical manifestations and the increase in the dosage of antidiabetic drugs, the improvement of symptoms with the dechallenge of dapagliflozin, and the exclusion of other possible causes triggering myopathy suggests that this may be the first case of dapagliflozin-induced myopathy, different from the former one associated with the use of SGLT2 inhibitors.

Indexed as

Autoimmune DiseasesMuscular DiseasesMyositisSodium-Glucose Transporter 2 InhibitorsAgedAutoantibodiesFemaleGlucoseHumansMuscle, SkeletalNecrosisQuality of LifeSodiumSodium-Glucose Transporter 2AutoantibodiesGlucoseSodiumSodium-Glucose Transporter 2Sodium-Glucose Transporter 2 InhibitorsAnti-HMGCR antibodiesDapagliflozinDrug-induced myopathyIMNM

Identifiers

PMID35391603
OpenAlexW4226058992

What OpenQuestion holds

Textmetadata
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.