Evidence map›Paper›PMID 36937234›Full record

ArticleEuropean heart journal. Case reports2023

Steroid-dependent pericarditis following anti-PD1 immunotherapy in a metastatic melanoma patient: a case report.

Marthe Verhaert, Jeroen Mebis, Sandrine Aspeslagh, Berlinde von Kemp

Open access · goldAbstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 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
0.7field-weighted citation impact, top 24% 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

4 authors at 2 institutions in 1 country.

Marthe VerhaertMedical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.ORCID https://orcid.org/0000-0002-3054-7969
Jeroen MebisMedical Oncology, Jessa Ziekenhuis, Stadsomvaart 11, 3500 Hasselt, Belgium.ORCID https://orcid.org/0000-0003-0579-4607
Sandrine AspeslaghMedical Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.ORCID https://orcid.org/0000-0001-6598-9161
Berlinde von KempCardio-Oncology, UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.ORCID https://orcid.org/0000-0001-8923-541X
Universitair Ziekenhuis Brussel · BEJessa Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune-related adverse events are increasingly prevalent in the oncologist's practice. Cardiac adverse events are rare but can be life-threatening. Case reports of immune checkpoint inhibitor (ICI)-related pericarditis are scarce and so is the scientific evidence for its management. This is the first report of a steroid-dependent pericarditis. Case summary: We present a case of a woman with lung metastatic melanoma who developed pericarditis after two infusions of pembrolizumab. The initial response to steroids and colchicine was favourable, and steroids were successfully tapered, after which the immunotherapy was reintroduced. A complete metabolic remission was achieved after six cycles of pembrolizumab, but pericarditis symptoms recur each time the steroid dose is lowered below 10 mg. After introduction of azathioprine, steroids were successfully tapered over the course of 6 months. Discussion: Because of the chronicity of the pericarditis, it was hypothesized that an underlying auto-immune pericarditis was triggered by the checkpoint inhibitor and the general guidelines for recurrent idiopathic pericarditis were followed, successfully adding azathioprine to taper steroids to stop.

Indexed as

CardiotoxicityCase reportImmune checkpoint inhibitorsImmune-related adverse eventsPericarditis

Identifiers

PMID36937234
PMCPMC10019811
OpenAlexW4323044381

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.