Evidence map›Paper›PMID 35527029›Full record

ArticleInternal medicine (Tokyo, Japan)2022

Elevated White Blood Cell Count and Lactate Dehydrogenase Levels Are Important Markers for Diagnosing Relapse of Adult-onset Still's Disease under Tocilizumab Use.

Sho Matsushita, Kenei Sada, Atsushi Manabe, Eriko Kashihara, Shunsuke Tagawa, Hiroyuki Akebo, Hirofumi Miyake, Ryuichi Minoda Sada, Kazuhiro Hatta

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. 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
–field-weighted citation impact
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.

  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

9 authors.

Sho MatsushitaDepartment of General Internal Medicine, Tenri Hospital, Japan.
Kenei SadaDepartment of Clinical Epidemiology, Kochi Medical School, Kochi University, Japan.
Atsushi ManabeDepartment of General Internal Medicine, Tenri Hospital, Japan.
Eriko KashiharaDepartment of General Internal Medicine, Tenri Hospital, Japan.
Shunsuke TagawaDepartment of General Internal Medicine, Tenri Hospital, Japan.
Hiroyuki AkeboDepartment of General Internal Medicine, Tenri Hospital, Japan.
Hirofumi MiyakeDepartment of General Internal Medicine, Tenri Hospital, Japan.
Ryuichi Minoda SadaDepartment of General Internal Medicine, Tenri Hospital, Japan.
Kazuhiro HattaDepartment of General Internal Medicine, Tenri Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We encountered a case of refractory adult-onset Still's disease (AOSD) with two relapses. Prednisolone and methotrexate were begun as induction therapy, resulting in the patient's first relapse during tapering of prednisolone. After the introduction of tocilizumab, she achieved remission. However, she experienced a second relapse following prednisolone tapering. While lactate dehydrogenase (LDH) levels and white blood cell (WBC) counts increased in both relapses, interleukin-6 (IL-6) suppression resulted in stable C-reactive protein and ferritin levels in the second relapse. A comparison of the two relapses indicated that increases in both WBC counts and LDH levels can aid in the diagnosis of AOSD relapse.

Indexed as

Still's Disease, Adult-OnsetAdultAntibodies, Monoclonal, HumanizedFemaleHumansLactate DehydrogenasesLeukocyte CountPrednisoloneRecurrenceAntibodies, Monoclonal, HumanizedLactate DehydrogenasesPrednisolonetocilizumabadult-onset Still's diseasebiomarkerlactate dehydrogenaserelapsetocilizumabwhite blood cell

Identifiers

PMID35527029
PMCPMC9841101

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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.