Evidence map›Paper›PMID 37915651›Full record

ArticleAnnals of medicine and surgery (2012)2023

Antimitochondrial antibody-negative primary biliary cirrhosis with secondary Sjogren syndrome: a case report.

Suman Acharya, Suraj Shrestha, Elisha Poddar, Ashru Neupane, Ramesh Khadayat, Sagar R Magar, Manoj Lamsal, Rahul Pathak

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
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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 2 countries.

Suman AcharyaDepartment of Internal Medicine.
Suraj ShresthaMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Elisha PoddarMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Ashru NeupaneDepartment of Anesthesiology, National Academy of Medical Sciences.
Ramesh KhadayatMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Sagar R MagarMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Manoj LamsalDepartment of Gastroenterology, Tribhuvan University Teaching Hospital.
Rahul PathakDepartment of Gastroenterology, Tribhuvan University Teaching Hospital.
Tribhuvan University Teaching Hospital · NPInstitute of Urology of the National Academy of Medical Sciences of Ukraine · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and importance: Primary biliary cholangitis (PBC) is a rare immune-mediated liver disease characterized by the destruction of intrahepatic bile ducts and a positive antimitochondrial antibody (AMA), which is considered a serological hallmark for the diagnosis. Rarely, AMA can be absent/nondetectable in a few cases and is referred to as 'AMA-negative'. Case presentation: The authors present such an uncommon case of AMA-negative PBC in a 39-year-female with Sjogren's syndrome who presented with fatigue, pruritus, and dry eyes. Clinical discussion: Previously published studies state that approximately only about 5% of patients with PBC are 'AMA-negative'. For patients negative for AMA, the diagnosis has to be based on typical pathological features of this disease. Once a diagnosis of PBC is established, regardless of whether it is positive or negative for AMAs, ursodeoxycholic acid is a widely accepted treatment. Conclusion: The presence/absence of AMAs is associated with similar clinical, biochemical, and histopathological characteristics in PBC. The identification of AMAs alone should not impact the diagnosis or treatment of PBC.

Indexed as

AMA-negativeantimitochondrial antibodyprimary biliary cirrhosisSjogren’s syndrome

Identifiers

PMID37915651
PMCPMC10617811
OpenAlexW4386636368

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.