Evidence map›Paper›PMID 36071987›Full record

ArticleCase reports in rheumatology2022

Neuropsychiatric Lupus and Lupus Nephritis Successfully Treated with Combined IVIG and Rituximab: An Alternative to Standard of Care.

Mohamed M Cheikh, Abdullah K Bahakim, Moayad K Aljabri, Saad M Alharthi, Sanad M Alharthi, Abdullah K Alsaeedi, Saad F Alqahtani

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

7 authors at 2 institutions in 1 country.

Mohamed M CheikhDepartment of Medicine, Fakeeh College for Medicine Science, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0002-1040-0126
Abdullah K BahakimDepartment of Medicine and Surgery, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID https://orcid.org/0000-0001-5219-7712
Moayad K AljabriDepartment of Medicine and Surgery, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID https://orcid.org/0000-0002-1866-7642
Saad M AlharthiInternal Medicine Department, Doctor Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0003-3388-4829
Sanad M AlharthiInternal Medicine Department, Doctor Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0003-0425-4959
Abdullah K AlsaeediInternal Medicine Department, Doctor Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0002-8464-1491
Saad F AlqahtaniInternal Medicine Department, Doctor Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0003-3462-7672
Soliman Fakeeh Hospital · SAUmm al-Qura University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with unpredictable course and flares. The clinical manifestation can vary from mild to severe and life-threatening disease. Infection is the primary cause of mortality in hospitalized SLE patients. There is a paucity of evidence to support the co-management of SLE with major organ involvement and sepsis. We describe the clinical response of a 35-year-old male diagnosed with SLE; then, he developed severe sepsis and a flare of SLE with major organ involvement including lupus nephritis (LN), myocarditis, and neuropsychiatric systemic lupus erythematosus (NPSLE). Based on the patient's condition, a treatment dilemma was encountered, and after a multidisciplinary meeting, the decision was made to use a combination of rituximab (RTX), intravenous immunoglobulin (IVIG), and pulse steroid. Shortly, the patient's condition started to improve, and his symptoms were resolved. In conclusion, our clinical case suggests that combined RTX, IVIG, and pulse steroid seem to be effective and safe in achieving clinical response, thus representing a good choice for managing severe SLE flares in sepsis.

Identifiers

PMID36071987
PMCPMC9441403
OpenAlexW4293660579

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.