Evidence map›Paper›PMID 36051149›Full record

ArticleWorld journal of clinical cases2022

Immunoglobulin G4 associated autoimmune cholangitis and pancreatitis following the administration of nivolumab: A case report.

Rohit Agrawal, Grace Guzman, Saman Karimi, Pier Cristoforo Giulianotti, Alfredo Jose Mena Lora, Shikha Jain, Meshaal Khan, Brian R Boulay, Yolande Chen

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Rohit AgrawalDepartment of Gastroenterology and Hepatology, University of Illinois, Chicago, IL 60607, United States. ragraw7@uic.edu.
Grace GuzmanDepartment of Pathology, University of Illinois, Chicago, IL 60607, United States.
Saman KarimiDepartment of Pathology, University of Illinois, Chicago, IL 60607, United States.
Pier Cristoforo GiulianottiDepartment of Surgery, University of Illinois, Chicago, IL 60607, United States.
Alfredo Jose Mena LoraDepartment of Infectious Disease, University of Illinois, Chicago, IL 60607, United States.
Shikha JainDepartment of Hematology and Oncology, University of Illinois, Chicago, IL 60607, United States.
Meshaal KhanDepartment of Hematology and Oncology, University of Illinois, Chicago, IL 60607, United States.
Brian R BoulayDivision of Gastroenterology and Hepatology, Department of Medicine, University of Illinois Hospital and Health Sciences System, Chicago, IL 60612, United States.
Yolande ChenDepartment of Hematology and Oncology, University of Illinois, Chicago, IL 60607, United States.
University of Illinois Hospital & Health Sciences System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors have significantly improved survivals for an increasing range of malignancies but at the cost of several immune-related adverse events, the management of which can be challenging due to its mimicry of other autoimmune related disorders such as immunoglobulin G4 (IgG4) related disease when the pancreaticobiliary system is affected. Nivolumab, an IgG4 monoclonal antibody, has been associated with cholangitis and pancreatitis, however its association with IgG4 related disease has not been reported to date. CASE SUMMARY: We present a case of immune-related pancreatitis and cholangiopathy in a patient who completed treatment with nivolumab for anal squamous cell carcinoma. Patients IgG4 levels was normal on presentation. She responded to steroids but due to concerns for malignant biliary stricture, she opted for surgery, the pathology of which suggested IgG4 related disease.

conclusionWe hypothesize this case of IgG4 related cholangitis and pancreatitis was likely triggered by nivolumab.

Indexed as

Biliary strictureCase reportCholangitisImmunoglobulin G4 related diseaseNivolumabPancreatitis

Identifiers

PMID36051149
PMCPMC9297397
OpenAlexW4283653285

What OpenQuestion holds

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LicenceCC BY-NC
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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.