Evidence map›Paper›PMID 38471303›Full record

ArticleEuropean thyroid journal2024

Alemtuzumab-induced thyroid eye disease successfully treated with a single low dose of rituximab.

Ilaria Muller, Sara Maioli, Mirco Armenti, Laura Porcaro, Nicola Currò, Elisabetta Iofrida, Lorenzo Pignataro, Jacopo Manso, Caterina Mian, Jens Geginat and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in European thyroid journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Medication-associated thyroid eye disease: a review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Review
  3. Review
  4. 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

11 authors at 3 institutions in 1 country.

Ilaria MullerDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0000-0003-2926-0722
Sara MaioliDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0009-0006-2513-3098
Mirco ArmentiDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0009-0002-9203-7507
Laura PorcaroDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0009-0002-4288-2606
Nicola CurròEndocrinology Unit, Graves' Orbitopathy Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Elisabetta IofridaDepartment of Specialistic Surgical Sciences, Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Lorenzo PignataroDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0000-0003-1619-5124
Jacopo MansoEndocrinology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.
Caterina MianEndocrinology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.ORCID 0000-0003-2615-8001
Jens GeginatDepartment of Clinical Sciences and Community Health, University of Milan, Italy.ORCID 0000-0003-4813-0381
Mario SalviEndocrinology Unit, Graves' Orbitopathy Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
University of Padua · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Secondary thyroid autoimmunity, especially Graves' disease (GD), frequently develops in patients with multiple sclerosis (MS) following alemtuzumab treatment (ALTZ; anti-CD52). Thyroid eye disease (TED) can also develop, and rituximab (RTX; anti-CD20) is a suitable treatment. Case presentation: A 37-year-old woman with MS developed steroid-resistant active moderate-to-severe TED 3 years after ALTZ, that successfully responded to a single 500 mg dose of i.v. RTX. Before RTX peripheral B-cells were low, and were totally depleted immediately after therapy. Follow-up analysis 4 years post ALTZ and 1 year post RTX showed persistent depletion of B cells, and reduction of T regulatory cells in both peripheral blood and thyroid tissue obtained at thyroidectomy. Conclusion: RTX therapy successfully inactivated TED in a patient with low B-cell count derived from previous ALTZ treatment. B-cell depletion in both thyroid and peripheral blood was still present 1 year after RTX, indicating a likely cumulative effect of both treatments.

Indexed as

Graves DiseaseGraves OphthalmopathyMultiple SclerosisAdultAlemtuzumabAntibodies, Monoclonal, Murine-DerivedFemaleHumansRituximabAlemtuzumabAntibodies, Monoclonal, Murine-DerivedRituximabalemtuzumabGraves’ orbitopathyimmune reconstitution therapylymphocyte depletionrituximabthyroid eye disease

Identifiers

PMID38471303
PMCPMC11046353
OpenAlexW4392717283

What OpenQuestion holds

Textmetadata
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.