Evidence map›Paper›PMID 37661454›Full record

ReviewInternal medicine (Tokyo, Japan)2024

Thrombotic Microangiopathy after a 15-year Treatment with Interferon Beta-1b in a Patient with Multiple Sclerosis: A Case Report and Review of Literature.

Satori Akita, Kosuke Fujibayashi, Ei-Ichi Ueno, Minoru Wakasa, Yasuyuki Kawai, Kouji Kajinami

Open access · diamondAbstract readReviewCase Reports
In one paragraph

Review in Internal medicine (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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.

Satori AkitaDepartment of Cardiology, Kanazawa Medical University, Japan.
Kosuke FujibayashiDepartment of Cardiology, Kanazawa Medical University, Japan.
Ei-Ichi UenoDepartment of Cardiology, Kanazawa Medical University, Japan.
Minoru WakasaDepartment of Cardiology, Kanazawa Medical University, Japan.
Yasuyuki KawaiDepartment of Cardiology, Kanazawa Medical University, Japan.
Kouji KajinamiDepartment of Cardiology, Kanazawa Medical University, Japan.
Kanazawa Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 54-year-old woman with multiple sclerosis treated with interferon-β (IFN-β)-1b for 15 years presented with sustained hypertension (240/124 mmHg) and retinal bleeding. She had proteinuria, anemia, thrombocytopenia, elevated serum creatinine levels, and haptoglobin depletion. Intravenous nicardipine stabilized her blood pressure, but her renal function and platelet count deteriorated. The initial disintegrin-like metalloprotease with thrombospondin type 1 motifs 13 (ADAMTS13) activity was 28% of normal without its inhibitor. The subsequent peripheral appearance of schistocytes suggested thrombotic microangiopathy (TMA). After IFN-β-1b cessation, the platelet count increased, and the blood pressure stabilized. The ADAMTS13 activity normalized, although the creatinine level did not. TMA may develop after the long-term use of IFN-β without adverse events.

Indexed as

HypertensionMultiple SclerosisThrombotic MicroangiopathiesFemaleHumansInterferon-betaInterferon beta-1bMiddle AgedInterferon-betaInterferon beta-1bdisintegrin-like and metalloprotease with thrombospondin type 1 motifs 13 (ADAMTS13)interferon-β (IFN-β)long-term treatmentmultiple sclerosisthrombotic microangiopathy (TMA)

Identifiers

PMID37661454
PMCPMC11081907
OpenAlexW4386321209

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.