Evidence map›Paper›PMID 38464849›Full record

ReviewInternational journal of rheumatology2024

Primary Immune Thrombocytopenic Purpura (ITP) and ITP Associated with Systemic Lupus Erythematosus: A Review of Clinical Characteristics and Treatment Modalities.

Krishna Prasad Bashyal, Sangam Shah, Calvin Ghimire, Shravya Balmuri, Pradip Chaudhary, Sandip Karki, Anuj Krishna Poudel, Ashbina Pokharel, Vishal Devarkonda, Samina Hayat

Abstract readReview
In one paragraph

Review in International journal of rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Krishna Prasad BashyalMcLaren Health Care Corp, 401 South Ballenger Hwy, Flint 48532, USA.
Sangam ShahTribhuvan University, Institute of Medicine, Maharajgunj, Kathmandu 44600, Nepal.ORCID https://orcid.org/0000-0002-8203-3329
Calvin GhimireMcLaren Health Care Corp, 401 South Ballenger Hwy, Flint 48532, USA.
Shravya BalmuriLouisiana State University Health Sciences Centre Shreveport, Louisiana, Shreveport, USA 71103-4228.
Pradip ChaudharyHurley Medical Center, Flint, MI, USA.
Sandip KarkiMcLaren Health Care Corp, 401 South Ballenger Hwy, Flint 48532, USA.
Anuj Krishna PoudelGreater Baltimore Medical Center, Baltimore, USA.
Ashbina PokharelWilliam Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Vishal DevarkondaLouisiana State University Health Sciences Centre Shreveport, Louisiana, Shreveport, USA 71103-4228.
Samina HayatLouisiana State University Health Sciences Centre Shreveport, Louisiana, Shreveport, USA 71103-4228.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune thrombocytopenic purpura (ITP) is an immune-mediated disorder characterized by the destruction of platelets and megakaryocytes due to autoantibodies against the platelet surface proteins. ITP without any apparent cause of thrombocytopenia is defined as primary ITP, and ITP in the setting of SLE is secondary ITP, which can be diagnosed after excluding other causes of thrombocytopenia by history, physical examination, and laboratory testing. Patients with ITP associated with SLE have higher median platelet count and less bleeding manifestations compared to the patients with primary ITP. It can be very challenging to diagnose primary ITP in SLE patients as other causes of thrombocytopenia including drug-induced thrombocytopenia, antiphospholipid syndrome, and thrombotic microangiopathic process should be ruled out. Corticosteroids are the main modality of treatment. IVIG can be used in severe cases. Splenectomy was found to be less effective in ITP associated with SLE compared to primary ITP. Control of disease activity with immunosuppressive therapy can be helpful in some cases associated with active disease flares in SLE patients.

Identifiers

PMID38464849
PMCPMC10923624

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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.