Evidence map›Paper›PMID 36295511›Full record

ArticleMedicina (Kaunas, Lithuania)2022

Secondary Hemophagocytic Syndrome in a Patient with Plasma Cell Myeloma and CNS Involvement Treated with Lenalidomide.

Sławomir Milczarek, Piotr Kulig, Bartłomiej Baumert, Aleksandra Łanocha, Krzysztof Sommerfeld, Ewa Borowiecka, Bogumiła Osękowska, Edyta Paczkowska, Barbara Zdziarska, Bogusław Machaliński

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

10 authors at 1 institution in 1 country.

Sławomir MilczarekDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0003-4445-6192
Piotr KuligDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0002-8695-8863
Bartłomiej BaumertDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-9933-5844
Aleksandra ŁanochaDepartment of Hematology and Transplantology, Pomeranian Medical University, 71-252 Szczecin, Poland.
Krzysztof SommerfeldDepartment of Hematology and Transplantology, Pomeranian Medical University, 71-252 Szczecin, Poland.
Ewa BorowieckaDepartment of Hematology and Transplantology, Pomeranian Medical University, 71-252 Szczecin, Poland.
Bogumiła OsękowskaDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Edyta PaczkowskaDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0001-7052-9741
Barbara ZdziarskaDepartment of Hematology and Transplantology, Pomeranian Medical University, 71-252 Szczecin, Poland.
Bogusław MachalińskiDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Pomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present an extremely rare case report of a 29-year-old multiple myeloma patient with central nervous system involvement and secondary hemophagocytic lymphohistiocytosis (HLH). We observed that HLH was presumably triggered by the immunomodulatory drug-lenalidomide. HLH is frequently misdiagnosed or underdiagnosed. As HLH requires immediate treatment, our report emphasizes the need to consider HLH in the differential diagnosis when the condition of a patient receiving chemotherapy rapidly deteriorates and an infectious etiology is excluded. We furthermore discuss the pathogenesis of HLH, with particular emphasis on drugs affecting the immune system as well as possible therapeutic strategies.

Indexed as

Lymphohistiocytosis, HemophagocyticMultiple MyelomaNeoplasms, Second PrimaryAdultDiagnosis, DifferentialHumansImmunomodulating AgentsLenalidomideImmunomodulating AgentsLenalidomidebone marrow transplantationchemotherapyhemophagocytic lymphohistiocytosismultiple myeloma

Identifiers

PMID36295511
PMCPMC9606933
OpenAlexW4297541868

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.