Evidence map›Paper›PMID 36167431›Full record

ArticleBMJ case reports2022

Primary adrenal insufficiency masking as an adrenal B-cell lymphoma.

Eric Kuhn, John R Sanchez, Mohamed Km Shakir, Thanh Duc Hoang

Open access · hybridAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Addison's Disease: Diagnosis and Management Strategies.International journal of general medicine · 2023
    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

4 authors at 2 institutions in 1 country.

Eric KuhnEndocrinology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
John R SanchezPathology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Mohamed Km ShakirEndocrinology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Thanh Duc HoangEndocrinology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA tdhdthanh@gmail.com.ORCID http://orcid.org/0000-0001-7437-5604
Uniformed Services University of the Health Sciences · USWalter Reed National Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report here a woman in her 70s presenting with adrenal insufficiency secondary to a primary adrenal lymphoma. The patient had a previous history of aphthous ulcers on dexamethasone and was referred to endocrinology with symptoms of fatigue and orthostasis. Subsequent Cosyntropin stimulation showed primary adrenal insufficiency and adrenal CT demonstrated large infiltrative masses. Adrenal biopsy confirmed the diagnosis of primary adrenal lymphoma of the B-cell type. This case demonstrates the importance of including lymphoma in the differential diagnosis of adrenal insufficiency, particularly in the elderly population and in the setting of negative 21-hydroxlyase antibody results.

Indexed as

Addison DiseaseAdrenal Gland NeoplasmsAdrenal InsufficiencyLymphomaLymphoma, B-CellAgedCosyntropinDexamethasoneFemaleHumansTomography, X-Ray ComputedCosyntropinDexamethasoneadrenal disordersendocrine systemhaematology (drugs and medicines)haematology (incl blood transfusion)oncology

Identifiers

PMID36167431
PMCPMC9516216
OpenAlexW4297324214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.