Evidence map›Paper›PMID 36478803›Full record

ArticleHeliyon2022

Severe ARDS due to Ruxolitinib discontinuation syndrome: case presentation and literature review.

Jona F Houthuys, Alexander P Wilmer, Marijke Peetermans, Philippe Meersseman, Timothy Devos

Open access · goldAbstract readCase Reports
In one paragraph

Article in Heliyon, 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
0.5field-weighted citation impact, top 34% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
  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

5 authors at 1 institution in 1 country.

Jona F HouthuysMedical Intensive Care, UZ Leuven, Gasthuisberg, Leuven, Vlaams Brabant, Belgium.
Alexander P WilmerMedical Intensive Care, UZ Leuven, Gasthuisberg, Leuven, Vlaams Brabant, Belgium.
Marijke PeetermansMedical Intensive Care, UZ Leuven, Gasthuisberg, Leuven, Vlaams Brabant, Belgium.
Philippe MeerssemanMedical Intensive Care, UZ Leuven, Gasthuisberg, Leuven, Vlaams Brabant, Belgium.
Timothy DevosDepartment of Health, KU Leuven University, Leuven, Vlaams Brabant, Belgium.
Universitair Ziekenhuis Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Discontinuation of Ruxolitinib (RUX), a JAK1/JAK2 inhibitor, can induce symptom-relapse and even life-threatening adverse events. Due to increasing use of RUX, this so-called RUX discontinuation syndrome (RDS) is becoming more prevalent. To create better awareness for this potentially fatal syndrome, we present a case of an adult male who developed a fatal RDS. Results: Our case presented with acute respiratory failure and a shock-like syndrome, with the need for mechanical ventilation, venovenous-extracorporeal membrane oxygenation (ECMO) and vasopressors. Respiratory symptoms quickly improved after initiation of corticosteroids, but disease course was complicated with a spontaneous spleen rupture leading to hemorrhagic shock and eventually death. Conclusion: This case report is the first case of severe RDS necessitating vv-ECMO and complicated with spleen rupture. Clinicians should be aware of this potentially lethal syndrome as it can present acutely but be effectively treated with corticosteroids and/or restarting JAK-inhibitors.

Indexed as

ARDSJakafiJakaviJAK-InhibitorsMyelofibrosisRebound cytokine stormRuxolitinibRuxolitinib discontinuation syndromeRuxolitinib withdrawal syndromeSpontaneous spleen rupture

Identifiers

PMID36478803
PMCPMC9720527
OpenAlexW4310170183

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.