Evidence map›Paper›PMID 37529819›Full record

ArticleCureus2023

An Unusual Case of Bilateral Lower Extremity Edema in the Elderly: Immunoglobulin A (IgA) Vasculitis.

Toyoshi Yanagihara, Takuya Nakagawa, Haruko Nishie, Yuki Moriuchi, Hiroaki Ogata, Masako Kadowaki, Atushi Moriwaki, Makoto Yoshida

Abstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Toyoshi YanagiharaDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Takuya NakagawaDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Haruko NishieDepartment of Dermatology, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Yuki MoriuchiDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Hiroaki OgataDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Masako KadowakiDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Atushi MoriwakiDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.
Makoto YoshidaDepartment of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a 74-year-old male who exhibited bilateral lower extremity edema over three days. Examination revealed no signs of heart, renal, or hepatic failure, and hypothyroidism was also ruled out. An outpatient regimen of 40 mg furosemide was initiated. At a 12-day follow-up, although the edema had improved, the patient had developed pain in both lower limbs, especially ankles, accompanied by numerous petechiae and erythemas, some of which had formed papules. Skin biopsy of the rash displayed leukocytoclastic vasculitis with immunoglobulin A (IgA) deposition within the vascular walls, leading to a diagnosis of IgA vasculitis. Given the rarity of IgA vasculitis in elderly patients and the broad spectrum of potential diagnoses related to bilateral lower extremity edema in this population, IgA vasculitis can be easily overlooked. While this case did not present with glomerulonephritis, regular renal function monitoring is recommended due to the prognostic implications of renal involvement in adult-onset IgA vasculitis.

Indexed as

iga vasculitisleukocytoclastic vasculitis (lcv)lower extremity edemarashskin lesion biopsy

Identifiers

PMID37529819
PMCPMC10388684

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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.