Evidence map›Paper›PMID 36258702›Full record

ArticleJournal of medical cases2022

Steven-Johnson Syndrome: A Rare but Serious Adverse Event of Nivolumab Use in a Patient With Metastatic Gastric Adenocarcinoma.

Eltaib Saad, Pabitra Adhikari, Drashti Antala, Ahmed Abdulrahman, Valiko Begiashvili, Khalid Mohamed, Elrazi Ali, Qishou Zhang

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Journal of medical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

8 authors at 2 institutions in 1 country.

Eltaib SaadDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Pabitra AdhikariDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Drashti AntalaDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Ahmed AbdulrahmanDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Valiko BegiashviliDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Khalid MohamedDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Elrazi AliDepartment of Internal Medicine, One Brooklyn Health, Interfaith Medical Center, Brooklyn, NY, USA.
Qishou ZhangDepartment of Internal Medicine, Ascension Saint Francis Hospital, Evanston, IL, USA.
Saint Francis Hospital · USInterfaith Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nivolumab is a humanized monoclonal anti-programmed cell death receptor-1 (PD-1) antibody that has been authorized for use in the treatment of advanced malignancies. Cutaneous reactions are the most common immune-related adverse events reported with anti-PD-1 agents, and they range broadly from mild localized reactions to rarely severe or life-threatening systemic dermatoses. The occurrence of Steven-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) with nivolumab use is an exceedingly rare phenomenon that was only documented in a handful of cases in the current literature, but it deserves careful attention as SJS/TEN may be associated with fatal outcomes. We present a case of nivolumab-induced SJS/TEN in a middle-aged female patient with metastatic gastric adenocarcinoma that was successfully treated with immunosuppressive therapy and supportive care. Prompt recognition of SJS/TEN with discontinuation of nivolumab is warranted when SJS/TEN is suspected clinically. Multidisciplinary management in a specialized burn unit is the key to improving outcomes of SJS/TEN.

Indexed as

Anti-programmed cell death receptor-1 agentsCutaneous adverse reactionsImmune checkpointNivolumabRareSteven-Johnson syndrome

Identifiers

PMID36258702
PMCPMC9534193
OpenAlexW4297537206

What OpenQuestion holds

Textmetadata
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.