Evidence map›Paper›PMID 37728704›Full record

ReviewInternational journal of hematology2023

Updated guidelines for chronic active Epstein-Barr virus disease.

Jun-Ichi Kawada, Yoshinori Ito, Koichi Ohshima, Masaki Yamada, Shinsuke Kataoka, Hideki Muramatsu, Akihisa Sawada, Taizo Wada, Ken-Ichi Imadome, Ayako Arai and 4 more

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
17.7field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 77 citations in OpenAlex.

  1. Article
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  17. Article
  18. Epstein-Barr Virus-Associated T/NK-Cell Neoplasms.Journal of medical virology · 2026
    Review
  19. Case Report: FromFrontiers in immunology · 2026
    Article
  20. 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

14 authors at 9 institutions in 1 country.

Jun-Ichi KawadaDepartment of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan. kawadaj@med.nagoya-u.ac.jp.ORCID http://orcid.org/0000-0003-1553-2539
Yoshinori ItoDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan.
Koichi OhshimaDepartment of Pathology, School of Medicine, Kurume University, Kurume, Japan.
Masaki YamadaDepartment of Advanced Medicine for Viral Infections, National Center for Child Health and Development, Tokyo, Japan.
Shinsuke KataokaDepartment of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hideki MuramatsuDepartment of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Akihisa SawadaDepartment of Hematology/Oncology, Osaka Women's and Children's Hospital, Izumi, Japan.
Taizo WadaDepartment of Pediatrics, Kanazawa University, Kanazawa, Japan.
Ken-Ichi ImadomeDepartment of Advanced Medicine for Viral Infections, National Center for Child Health and Development, Tokyo, Japan.
Ayako AraiDivision of Hematology and Oncology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Keiji IwatsukiDepartment of Dermatology, Dentistry, and Pharmaceutical Sciences, Okayama University Graduate School of Medicine, Okayama, Japan.
Shouichi OhgaDepartment of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hiroshi KimuraDepartment of Virology, Nagoya University Graduate School of Medicine, Nagoya, Japan. hkimura@med.nagoya-u.ac.jp.
Committee for Guidelines for the Management of Chronic Active EBV Disease, Related Disorders (the MHLW Research Team in Japan)
Nagoya University · JPNational Center For Child Health and Development · JPKanazawa University · JPKurume University · JPKyushu University · JPNihon University · JPOkayama University · JPOsaka Women's and Children's Hospital · JPSt. Marianna University School of Medicine · JP

Funding

Ministry of Health, Labor, and Welfare of Japan 20FC1004Ministry of Health, Labour and Welfare 22FC1004
6 · The paper itself

Abstract

Chronic active Epstein-Barr virus disease (CAEBV), formerly named chronic active Epstein-Barr virus infection, is characterized by systemic inflammation and clonal proliferation of Epstein-Barr virus (EBV)-infected T or NK cells. As CAEBV is a potentially life-threatening illness, appropriate diagnosis and therapeutic interventions are necessary for favorable clinical outcomes. Substantial evidence regarding the pathogenesis and treatment of CAEBV has been accumulated since previous guidelines for the diagnosis of CAEBV were proposed. To reflect this evidence, we updated the guidelines for the diagnosis and treatment of CAEBV to improve clinical management of the disease. The details of the updated guidelines are presented in this report. Diagnosis of CAEBV now requires confirmation of a high copy number of EBV genome and EBV-infected T or NK cells. An EBV DNA load ≥ 10,000 IU/mL in whole blood is proposed as the diagnostic cutoff value for CAEBV in this updated guideline. A standard treatment approach for CAEBV has not been established, and hematopoietic stem cell transplantation (HSCT) is considered the only curative treatment. Chemotherapy can be administered to control disease activity before HSCT.

Indexed as

Epstein-Barr Virus InfectionsHematopoietic Stem Cell TransplantationChronic DiseaseHerpesvirus 4, HumanHumansKiller Cells, NaturalCAEBVDiagnostic criteriaEBVGuidelines

Identifiers

PMID37728704
PMCPMC10615970
OpenAlexW4386877890

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.