Evidence map›Paper›PMID 38292481›Full record

ReviewFrontiers in immunology2023

Adrenal crisis mainly manifested as recurrent syncope secondary to tislelizumab: a case report and literature review.

Haishan Wei, Anju Zuo, Jiying Chen, Chunyan Zheng, Tingting Li, Haiyan Yu, Yuan Guo

Open access · goldAbstract readReviewCase Reports
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Haishan Wei *Department of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Anju Zuo *Department of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Jiying ChenDepartment of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Chunyan ZhengDepartment of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Tingting LiDepartment of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Haiyan YuDepartment of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Yuan GuoDepartment of General Practice, Qilu Hospital of Shandong University, Jinan, China.
Qilu Hospital of Shandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As an immune checkpoint inhibitor (ICI), tislelizumab is an anti-programmed cell death protein 1 (PD-1) drug. With the extensive application of ICIs, there is an ever-increasing proportion of immune-related adverse events (irAEs) in clinical settings, some of which may even be life-threatening. Herein, we present a patient with tislelizumab-induced adrenal crisis. The main clinical manifestation was recurrent syncope accompanied by high-grade fever. Timely identification and hormone replacement therapy helped the patient overcome the crisis well. Finally, the patient discontinued tislelizumab and switched to antibody-drug conjugate (ADC) therapy. We report this case to improve our understanding of this situation, identify this kind of disease, and prevent adrenal crisis in time. Eventually, limiting toxicities reduces the interruption of immunotherapy. Since irAEs are multisystem damage with more non-specific symptoms, except for oncologists, general practitioners who endorse the need for taking a holistic approach to the patient should play a vital role in the management of cancer treatment.

Indexed as

Antineoplastic Agents, ImmunologicalAntibodies, Monoclonal, HumanizedHumansImmune Checkpoint InhibitorsSyncopeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalImmune Checkpoint Inhibitorstislelizumabadrenal crisisimmune checkpoint inhibitors (ICIs)immune-related adverse events (irAEs)recurrent syncopetislelizumab

Identifiers

PMID38292481
PMCPMC10825015
OpenAlexW4390917736

What OpenQuestion holds

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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.