Evidence map›Paper›PMID 38488863›Full record

ReviewRheumatology international2024

Tofacitinib therapy for severe pyoderma gangrenosum in a patient with enteropathic arthritis: a case-based review.

Aydan Köken Avşar, Tuba Demirci Yıldırım, İsmail Sarı

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 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. Review
  2. Review
  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

3 authors.

Aydan Köken AvşarDepartment of Rheumatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. aydankoken@hotmail.com.ORCID 0000-0003-4149-621X
Tuba Demirci YıldırımDepartment of Rheumatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID 0000-0003-3186-0591
İsmail SarıDepartment of Rheumatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID 0000-0001-7737-4180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that is associated with systemic inflammatory conditions. Currently, there is no universally accepted standard therapy for PG, but immunosuppressive (IS) treatment seems essential. We report a patient here who was successfully treated with tofacitinib despite being PG-refractory to multiple anti-tumor necrosis factor alpha (anti-TNF) therapies and conventional IS. In addition, we performed a comprehensive review of all cases of PG treated with JAK inhibitors. We identified 27 cases treated with JAK inhibitors. Approximately 80% of the patients achieved complete recovery within a median of 12 weeks, even though 17 patients (63%) had received biologics before JAKinib treatment. Notably, this recovery could appear as early as 2 weeks. JAK inhibitors may prove useful in the future, particularly for treating immunosuppressive and steroid-resistant pyoderma gangrenosum, according to recent case reports.

Indexed as

PiperidinesPyoderma GangrenosumPyrimidinesHumansImmunosuppressive AgentsJanus Kinase InhibitorsProtein Kinase InhibitorsTreatment OutcomeImmunosuppressive AgentsJanus Kinase InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinestofacitinibCase reportJak inhibitorsPyoderma gangrenosumTofacitinib

Identifiers

What OpenQuestion holds

Textmetadata
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.