Evidence map›Paper›PMID 37770241›Full record

ArticleBMJ case reports2023

Neurosyphilis Mimicking Connective Tissue Disease.

Pooja Patel, Roger E Turbin, Sameera Husain, Shuwei Wang

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 1 country.

Pooja PatelInternal Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA poojaapatel15@gmail.com.ORCID http://orcid.org/0000-0002-7302-544X
Roger E TurbinDepartment of Ophthalmology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID http://orcid.org/0000-0001-5480-5523
Sameera HusainDivision of Dermatopathology, Columbia University, New York, New York, USA.
Shuwei WangDivision of Rheumatology, Department of Medicine, VA New Jersey Health Care System, East Orange, New Jersey, USA.ORCID http://orcid.org/0000-0003-4542-7297
Rutgers, The State University of New Jersey · USColumbia University · USVA New Jersey Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A male in his 60s developed a pruritic, maculopapular rash on his torso and arms, sparing his palms and soles. He tested positive for ANA and an initial skin biopsy identified "bullous lupus," supporting the diagnosis of a connective tissue disease. Additional symptoms included headaches, facial nerve palsy and hearing loss, which partially responded to oral corticosteroids. He subsequently developed a steroid-dependent left eye scotoma, neuroretinitis and optic nerve papillitis. Mycophenolate mofetil was added but an attempted oral steroid taper led to a worsening rash, progressive retinitis and papillitis. Neurosyphilis was confirmed by serum positive rapid plasma reagin test, reactive treponema pallidum antibodies, positive cerebrospinal fluid venereal disease research laboratory and positive spirochete immunostain of skin biopsy of lesional (rash) tissue. Treatment with intravenous ceftriaxone resolved his rash and visual symptoms. It is important to consider syphilis as a mimicker of connective tissue diseases.

Indexed as

Connective Tissue DiseasesExanthemaNeurosyphilisPapilledemaSyphilisHumansMaleTreponema pallidumconnective tissue diseaseinfection (neurology)infectious diseasesneuroopthalmologyophthalmology

Identifiers

PMID37770241
PMCPMC10546142
OpenAlexW4387121882

What OpenQuestion holds

Textmetadata
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.