Evidence map›Paper›PMID 37553451›Full record

ArticleDiscover oncology2023

Case report: a successful treatment with immune checkpoint inhibitors was associated with severe dermatologic toxicities in a patient with double primary malignancies.

Xi Li, Yi Lei, Jiyan Liu, Hongyin Lin, Kexin Chen, Fang Yin, Chunhui Wang, Hu Zhang

Open access · goldAbstract read
In one paragraph

Article in Discover oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  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

8 authors at 2 institutions in 1 country.

Xi LiGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Yi LeiGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Jiyan LiuDepartment of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Hongyin LinWest China School of Medicine, Sichuan University Chengdu, Chengdu, China.
Kexin ChenDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.
Fang YinDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.
Chunhui WangDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.
Hu ZhangDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China. zhanghu@scu.edu.cn.
Sichuan University · CNWest China Medical Center of Sichuan University · CN

Funding

the Science and Technology Foundation of Sichuan Province of China No. 2023YFS0287
6 · The paper itself

Abstract

Dermatological toxicities are well-recognized immune-related adverse events (irAEs) secondary to immune checkpoint inhibitor (ICI) use. Corticosteroids are considered the first-line therapy for grade 3 or grade 4 skin irAEs, but long-term usage of corticosteroids may abolish the effect of ICIs. Multiple antitumor therapies might be an influencing factor in an increased incidence of skin irAEs. The safety and prognostic value in resuming ICIs after irAEs has been inconsistently reported, especially the severe skin irAE. We report a case of a 75-year-old man with non-small cell lung cancer (NSCLC) and prostate cancer with a Stevens-Johnson syndrome (SJS)-like eruption. The severe rash might have been induced by resuming pembrolizumab was successfully treated with a combination of corticosteroids, gamma globulin, and immunosuppressants. Early detection of dermatologic toxicity is crucial, especially for patients receiving multiple antitumor treatments. We should treat ICI resumption seriously after skin irAE.

Indexed as

Double primary malignanciesImmune checkpoint inhibitors (ICIs)Immune-related adverse events (irAEs)PembrolizumabStevens-Johnson syndrome (SJS)-like eruption

Identifiers

PMID37553451
PMCPMC10409686
OpenAlexW4385654792

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.