Evidence map›Paper›PMID 36725034›Full record

ReviewInternal medicine (Tokyo, Japan)2023

Severe TAFRO Syndrome Mimicking Hepatorenal Syndrome Successfully Treated with a Multidisciplinary Approach: A Case Report and Literature Review.

Shinya Yamamoto, Ken Wells, Keisuke Morita, Katsuya Tanigaki, Koji Muro, Minami Matsumoto, Hirotsugu Nakai, Yasuyuki Arai, Shuji Akizuki, Ken Takahashi and 3 more

Open access · diamondAbstract readReviewCase Reports
In one paragraph

Review in Internal medicine (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

13 authors at 1 institution in 1 country.

Shinya YamamotoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Ken WellsDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Keisuke MoritaDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Katsuya TanigakiDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Koji MuroDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Minami MatsumotoDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Hirotsugu NakaiDepartment of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Japan.
Yasuyuki AraiDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Japan.
Shuji AkizukiDepartment of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Japan.
Ken TakahashiDepartment of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Japan.
Sachiko MinamiguchiDepartment of Diagnostic Pathology, Graduate School of Medicine, Kyoto University, Japan.
Shingo FukumaHuman and Health Sciences, Graduate School of Medicine, Kyoto University, Japan.
Motoko YanagitaDepartment of Nephrology, Graduate School of Medicine, Kyoto University, Japan.
Kyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Finding the ideal balance between efficacy and safety of immunosuppression is challenging, particularly in cases of severe TAFRO syndrome. We herein report a 60-year-old man diagnosed with grade 5 TAFRO syndrome mimicking hepatorenal syndrome that was successfully treated by glucocorticoid, tocilizumab, and cyclosporin despite virus infection. Furthermore, by examining 14 peer-reviewed remission cases, we revealed that the recovery periods among inflammation, renal dysfunction, and thrombocytopenia were quite different, with recovery from thrombocytopenia notably slow. All patients requiring dialysis were successfully withdrawn from dialysis, and the reversibility from kidney injury was good. This clinical information will help clinicians plan treatments and tailor the intensity of immunosuppression.

Indexed as

Castleman DiseaseHepatorenal SyndromeThrombocytopeniaEdemaHumansKidneyMaleMiddle Ageddialysisimmunosuppressionkidney injuryTAFRO syndromethrombocytopenia

Identifiers

PMID36725034
PMCPMC10569924
OpenAlexW4318689330

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.