Evidence map›Paper›PMID 37692987›Full record

ArticleThe Pan African medical journal2023

Efficacy of rituximab in refractory polyarteritis nodosa: a case report.

Iméne Boukhris, Mohamed Salah Hamdi, Anis Hariz, Meriem Kesentini, Samira Azzabi, Eya Cherif, Ines Kechaou, Lamia Ben Hassine

Open access · goldAbstract readCase Reports
In one paragraph

Article in The Pan African medical 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
0.8field-weighted citation impact, top 25% 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, 3 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

8 authors at 2 institutions in 1 country.

Iméne BoukhrisDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Mohamed Salah HamdiDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Anis HarizDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Meriem KesentiniFaculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
Samira AzzabiDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Eya CherifDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Ines KechaouDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Lamia Ben HassineDepartment of Internal Medicine, Charles Nicolle Hospital, Tunis, Tunisia.
Tunis El Manar University · TNHôpital Charles-Nicolle · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyarteritis nodosa (PAN) is a systemic vasculitis affecting medium and small-sized vessels resulting in multiple organ involvement. Refractory PAN requires a different therapeutic approach. We herein report the case of a 42-year-old male presenting a non-virus-related refractory PAN with a favorable outcome on rituximab. He presented significant weight loss, muscle weakness, peripheral axonal neuropathy, and medium-sized cutaneous vessel necrotizing vasculitis. The patient received high-dose corticosteroids and cyclophosphamide with no significant clinical improvement while developing adverse side effects such as hypertension and diabetes. Rituximab was prescribed as an alternative therapy at 1000 mg on day 0 and day 15. This allowed for complete and rapid control of disease activity with regression of cutaneous injury and substantial improvement of neurological symptoms. In conclusion, using chimeric anti-CD20 monoclonal antibodies, such as rituximab, although rarely reported in refractory non-virus-related PAN, may be an effective alternative therapy, as portrayed in our case.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPolyarteritis NodosaVasculitisAdultCyclophosphamideHumansMaleRituximabCyclophosphamideRituximabBiological therapycase reportpolyarteritis nodosaprednisoneskin ulcer

Identifiers

PMID37692987
PMCPMC10491718
OpenAlexW4381664073

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.