Evidence map›Paper›PMID 36337832›Full record

ArticleCureus2022

Myocarditis as the Initial Presentation of a Refractory Adult-Onset Still's Disease.

Nuno Pina Gonçalves, Maria Helena Lourenço, Francisco Albuquerque, Maria J Gonçalves, Sandra Falcão

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 79% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

5 authors at 4 institutions in 2 countries.

Nuno Pina GonçalvesRheumatology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.
Maria Helena LourençoRheumatology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.
Francisco AlbuquerqueCardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.
Maria J GonçalvesRheumatology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, PRT.
Sandra FalcãoRheumatology, Hospital de Loures, Lisbon, PRT.
Hospital de Egas Moniz · PTCentro Hospitalar de Lisboa Ocidental · PTHospital de Santa Cruz · PTLourdes Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of adult-onset Still's disease, a rare disease that presented with a rare complication, myocarditis. After initial therapy with prednisolone 1 mg/kg/day, the patient experienced dyspnea due to severe pleural effusion and palpitations on account of new-onset supraventricular tachycardia. Therapy with three consecutive pulses of 1000 mg of methylprednisolone and anakinra 100 mg/day proved to be effective, with a progressive resolution of all symptoms. However, at three months follow-up, oligoarthritis recurred along with high serum ferritin. Secondary failure to anakinra was assumed, and a switch to tocilizumab 162 mg was made. Nevertheless, arthralgia of the wrists and knees as well as high serum ferritin still persisted after two months of therapy. Chronic disease was assumed, and the patient switched to canakinumab 4 mg/kg/dose q4week, and a complete resolution of symptoms occurred with normalization of inflammation markers. Follow-up cardiac magnetic resonance showed a complete resolution of heart involvement.

Indexed as

adult onset still's disease (aosd)biologic therapiesperi-myocarditisrefractory diseasesevere

Identifiers

PMID36337832
PMCPMC9623201
OpenAlexW4300002745

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.