Evidence map›Paper›PMID 37847369›Full record

ArticleJournal of nephrology2024

Thrombotic microangiopathy due to primary antiphospholipid syndrome: successful treatment with eculizumab.

Chiara Pala, Elisabetta Parenti, Giuseppe Vizzini, Davide Gianfreda, Giovanni Maria Rossi

Abstract readCase Reports
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In one paragraph

Article in Journal of nephrology, 2024. 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
–field-weighted citation impact, top 70% 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, 0 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

5 authors at 2 institutions in 2 countries.

Chiara PalaNefrologia, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Elisabetta ParentiNefrologia, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Giuseppe VizziniDipartimento di Medicina e Chirurgia, Università degli Studi di Parma, Parma, Italy.
Davide GianfredaNefrologia e Dialisi, Ospedale "Santa Caterina Novella", Galatina, Lecce, Italy.
Giovanni Maria RossiNefrologia, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy. giovannimariarossi463@gmail.com.ORCID 0000-0001-8886-4329
University of Parma · ITHospital Santa Caterina · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiphospholipid syndrome nephropathy includes a variety of histological lesions, including thrombotic microangiopathy, which is not included among the diagnostic criteria of antiphospholipid syndrome. Whereas in secondary antiphospholipid syndrome, e.g. to systemic lupus erythematosus, there is emerging evidence of a benefit from complement blockade with eculizumab, optimal treatment of primary antiphospholipid syndrome-associated thrombotic microangiopathy is currently unknown. We report the case of a 36-year-old male patient with primary antiphospholipid syndrome-associated thrombotic microangiopathy, presenting with a clinical picture of atypical hemolytic-uremic syndrome with frequent relapses, treated with eculizumab (four 900 mg weekly doses followed by 1200 mg fortnightly infusions) leading to resolution of hemolysis, long-term remission and partial kidney function recovery (peak serum creatinine 3.8 mg/dL, decreased and stabilized around 2.5 mg/dL) over a follow up period of over 2 years.

Indexed as

Antibodies, Monoclonal, HumanizedAntiphospholipid SyndromeAtypical Hemolytic Uremic SyndromeThrombotic MicroangiopathiesAdultComplement Inactivating AgentsHumansMaleTreatment OutcomeAntibodies, Monoclonal, HumanizedComplement Inactivating AgentseculizumabAcute kidney injuryAntiphospholipidAtypical hemolytic-uremic syndromeComplement blockadeEculizumab

Identifiers

PMID37847369
OpenAlexW4387692498

What OpenQuestion holds

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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.