Evidence map›Paper›PMID 37091206›Full record

ArticleACG case reports journal2023

Immunoglobulin G4-Seronegative Autoimmune Cholangiopathy With Pancreatic and Hepatic Involvement Mimicking as Primary Sclerosing Cholangitis.

Sudharshan Achalu, Rani Berry, Mike T Wei, Subhas Banerjee, Pejman Ghanouni, Neeraja Kambham, Paul Y Kwo

Open access · diamondAbstract readCase Reports
In one paragraph

Article in ACG case reports journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 1 institution in 1 country.

Sudharshan AchaluDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA.
Rani BerryDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA.
Mike T WeiDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA.
Subhas BanerjeeDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA.
Pejman GhanouniDepartment of Radiology, Stanford University School of Medicine, Palo Alto, CA.
Neeraja KambhamDepartment of Pathology, Stanford University School of Medicine, Palo Alto, CA.
Paul Y KwoDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA.
Stanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin G4-seronegative autoimmune cholangiopathy is a rare cause of biliary strictures. We describe a 27-year-old man presenting with elevated liver enzymes, recurrent cholangitis/bacteremia, biliary strictures, and normal immunoglobulin G4 levels, who was initially diagnosed with primary sclerosing cholangitis, and later listed for transplantation for recurrent bacteremia. Subsequent surveillance imaging demonstrated morphologic changes consistent with biliary strictures and autoimmune pancreatitis. Initiating corticosteroids resulted in liver enzyme normalization and stricture improvement. Diagnosing seronegative autoimmune cholangiopathy remains challenging given similar presentation to primary sclerosing cholangitis. This case highlights importance of a wide differential for biliary strictures, with increased suspicion in those developing pancreatic changes in this setting.

Indexed as

autoimmune pancreatitisbiliary stricturesIgG4 cholangiopathyprimary sclerosing cholangitisPSC

Identifiers

PMID37091206
PMCPMC10118323
OpenAlexW4366387067

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.