Evidence map›Paper›PMID 35892910›Full record

ArticleLife (Basel, Switzerland)2022

Anti-MDA5 Amyopathic Dermatomyositis-A Diagnostic and Therapeutic Challenge.

Anca Bobirca, Cristina Alexandru, Anca Emanuela Musetescu, Florin Bobirca, Anca Teodora Florescu, Magdalena Constantin, Tiberiu Tebeica, Alesandra Florescu, Sebastian Isac, Mihai Bojinca and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Life (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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  9. COPA Syndrome-From Pathogenesis to Treatment.Diagnostics (Basel, Switzerland) · 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

11 authors at 3 institutions in 1 country.

Anca BobircaDepartment of Internal Medicine and Rheumatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0002-6662-7354
Cristina AlexandruDepartment of Internal Medicine and Rheumatology, "Dr. Ion Cantacuzino" Clinical Hospital, 011437 Bucharest, Romania.ORCID 0000-0001-7053-7530
Anca Emanuela MusetescuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Florin BobircaDepartment of General Surgery, Carol Davila University of Medicine and Pharmacy, "Dr. Ion Cantacuzino" Clinical Hospital, 050474 Bucharest, Romania.
Anca Teodora FlorescuDepartment of Internal Medicine and Rheumatology, "Dr. Ion Cantacuzino" Clinical Hospital, 011437 Bucharest, Romania.
Magdalena Constantin2nd Department of Dermatology, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, 020125 Bucharest, Romania.ORCID 0000-0001-9914-3236
Tiberiu TebeicaDepartment of Histopathology, "Dr. Leventer Centre", 011216 Bucharest, Romania.
Alesandra FlorescuDepartment of Rheumatology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Sebastian IsacDepartment of Physiology and Neuroscience, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.ORCID 0000-0002-2687-2611
Mihai BojincaDepartment of Internal Medicine and Rheumatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Ioan AncutaDepartment of Internal Medicine and Rheumatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROUniversity of Medicine and Pharmacy of Craiova · ROInstitutul Cantacuzino · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinically amyopathic Dermatomyositis (CADM) is a rare subtype of idiopathic inflammatory myositis, associated with no muscular manifestations, which is more frequent in Asian women. Anti-melanoma differentiation-associated gene 5 (MDA5) antibodies are a recently discovered type of specific autoantibodies associated with myositis. The anti-MDA5 DM was initially described in Japan and later it was discovered that the target antigen was a protein implicated in the innate immune response against viruses, that is encoded by the melanoma differentiation-associated gene 5. Anti-MDA5 DM is characteristically associated with distinguished mucocutaneus and systemic manifestations, including skin ulcerations, palmar papules, arthritis, and interstitial-lung disease. Patients with anti-MDA5 positivity have a high risk of developing rapid progressive interstitial-lung disease (RP-ILD), with a poor outcome. As a result, despite high mortality, diagnosis is often delayed, necessitating increased awareness of this possible condition. Despite a severe course of lung disease and an increased mortality rate, there is currently no standard treatment. Recent insights based on observational studies and case reports support combined therapy with immunosuppressive drugs and corticotherapy, as soon as the symptoms appear. The aim of this paper is to describe anti-MDA5 DM, focusing on the recent literature about the unique clinical manifestations and therapeutic options, starting from a severe clinical case diagnosed in our Rheumatology Department.

Indexed as

amyopathic dermatomyositisanti-MDA5 antibodiesCOVID-19rapid-progressive interstitial-lung disease

Identifiers

PMID35892910
PMCPMC9329888
OpenAlexW4287009849

What OpenQuestion holds

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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.