Evidence map›Paper›PMID 36506763›Full record

ArticleJournal of medical cases2022

Pembrolizumab-Induced Myasthenia Gravis and Myositis: Literature Review on Neurological Toxicities of Programmed Death Protein 1 Inhibitors.

Alfred Schwab, Marc Assaad, Rachelle Hamadi, Juda Zurndorfer, Racha Abi Melhem, Jennifer Holtzbach, Jeffrey Loeffler, Muhammad Ibrahim

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Pembrolizumab-induced Myasthenia Gravis and Myocarditis.Journal of community hospital internal medicine perspectives · 2024
    Article
  8. Article
  9. Article
  10. 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

8 authors at 1 institution in 1 country.

Alfred SchwabDivision of Neurocritical Care, Department of Neurology, Staten Island University Hospital, Staten Island, NY 10305, USA.
Marc AssaadDepartment of Medicine, Staten Island University Hospital, Staten Island, NY 10305, USA.
Rachelle HamadiDepartment of Medicine, Staten Island University Hospital, Staten Island, NY 10305, USA.
Juda ZurndorferDivision of Neurocritical Care, Department of Neurology, Staten Island University Hospital, Staten Island, NY 10305, USA.
Racha Abi MelhemDepartment of Medicine, Staten Island University Hospital, Staten Island, NY 10305, USA.
Jennifer HoltzbachDivision of Neurocritical Care, Department of Neurology, Staten Island University Hospital, Staten Island, NY 10305, USA.
Jeffrey LoefflerDepartment of Medicine, Staten Island University Hospital, Staten Island, NY 10305, USA.
Muhammad IbrahimDivision of Neurocritical Care, Department of Neurology, Staten Island University Hospital, Staten Island, NY 10305, USA.
Staten Island University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present herein the case of an elderly male patient, who was receiving immunotherapy for his urothelial cancer and who presented to our facility with lower extremity weakness. The patient was diagnosed with myasthenia gravis, thyroiditis, myositis and myocarditis, which were considered as immune adverse events of pembrolizumab therapy. The patient received pyridostigmine, intravenous immunoglobulin, plasmapheresis, corticosteroids, and rituximab with mild improvement of his symptoms. The patient had some neurological recovery, was discharged to a nursing facility, however he was ventilator dependent. Of importance, our case is followed by review and discussion of the literature related to immunotherapy and its side effects.

Indexed as

Immune checkpoint inhibitorImmune-related adverse eventsImmunotherapyMonoclonal antibodyMyasthenia gravisNeurotoxicityPembrolizumab

Identifiers

PMID36506763
PMCPMC9728146
OpenAlexW4309998959

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.