Evidence map›Paper›PMID 36914272›Full record

ArticleNeurology2023

Clinical Reasoning: A 60-Year-Old Man With Asymmetric Weakness and Persistent Fever.

Yang Zheng, Jing-Jing Xiang, Xiao-Fang Zhang, Shuo Zhang, Mei-Ping Ding, Jiao Huang

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 37% 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, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  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

6 authors at 1 institution in 1 country.

Yang ZhengFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0003-2955-7542
Jing-Jing XiangFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xiao-Fang ZhangFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Shuo ZhangFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Mei-Ping DingFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jiao HuangFrom the Departments of Neurology (Y.Z.), Zhejiang Provincial Hospital of Chinese Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; Departments of Pathology (J.-J.X.), Rheumatology (X.-F.Z., J.H.), Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou; Department of Pharmacy (S.Z.), The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; and Department of Neurology (M.-P.D.), Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. huangjiao2001@163.com.
Zhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral neuropathies, especially those with atypical features, remain a diagnostic challenge. In this case, a 60-year-old patient presented with acute-onset weakness starting in the right hand then sequentially involving the left leg, left hand, and right leg over 5 days. The asymmetric weakness was accompanied by persistent fever and elevated inflammatory markers. Subsequent development of rashes combined with careful review of the history led us to the final diagnosis and targeted treatment. This case highlights clinical pattern recognition with the help of electrophysiologic studies in peripheral neuropathies, which provide shortcuts to narrow the differential diagnosis. We also illustrate the important pitfalls from history taking to ancillary testing in diagnosing the rare but treatable cause of peripheral neuropathy (eFigure 1, links.lww.com/WNL/C541).

Indexed as

Peripheral Nervous System DiseasesClinical ReasoningDiagnosis, DifferentialHumansLegMaleMiddle Aged

Identifiers

PMID36914272
PMCPMC10074466
OpenAlexW4312133956

What OpenQuestion holds

Textmetadata
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.