Evidence map›Paper›PMID 38658343›Full record

ArticleInternal medicine (Tokyo, Japan)2024

A Rare Case of Overlapping Durvalumab-induced Myositis, Takotsubo-like Morphological Changes Caused by Myocarditis, and Myasthenia Gravis.

Shoichiro Saito, Shigeto Hontsu, Junya Hiraoka, Ai Yamanaka, Nobuhiro Fujioka, Daisuke Shimada, Yosuke Okuda, Kazuma Sugie, Shigeo Muro

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

9 authors at 2 institutions in 1 country.

Shoichiro SaitoDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Japan.
Shigeto HontsuDepartment of Respiratory Medicine, Nara Medical University, Japan.
Junya HiraokaDepartment of Respiratory Medicine, Nara Medical University, Japan.
Ai YamanakaDepartment of Neurology, Nara Medical University, Japan.
Nobuhiro FujiokaDepartment of Respiratory Medicine, Nara Medical University, Japan.
Daisuke ShimadaDepartment of Neurology, Nara Medical University, Japan.
Yosuke OkudaDepartment of Respiratory Medicine, Nara Medical University, Japan.
Kazuma SugieDepartment of Neurology, Nara Medical University, Japan.
Shigeo MuroDepartment of Respiratory Medicine, Nara Medical University, Japan.
Nara Medical University · JPKobe City Medical Center General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors can cause a range of immune-related adverse events, including myositis, Takotsubo cardiomyopathy, and myasthenia gravis. We herein report a rare case of a 78-year-old man with concurrent durvalumab-induced myositis, Takotsubo-like morphological changes caused by myocarditis, and myasthenia gravis. The patient initially required invasive ventilation and exhibited symptoms of myasthenia gravis after treatment with high-dose steroids. However, he subsequently achieved successful recovery after the administration of intravenous immunoglobulin, plasmapheresis, and high-dose steroids. We advocate vigilant neurological monitoring of patients with immune checkpoint inhibitor-induced myositis, including the assessment of ptosis and other relevant signs, so that prompt treatment can be initiated at the time of emergence or progression of immune checkpoint inhibitor-induced myasthenia gravis.

Indexed as

Myasthenia GravisMyocarditisMyositisTakotsubo CardiomyopathyAgedAntibodies, MonoclonalHumansImmune Checkpoint InhibitorsImmunoglobulins, IntravenousMalePlasmapheresisAntibodies, MonoclonaldurvalumabImmune Checkpoint InhibitorsImmunoglobulins, IntravenousICI-induced myasthenia gravisimmune checkpoint inhibitorsimmune-related adverse eventsintravenous immunoglobulinplasmapheresisTakotsubo cardiomyopathy

Identifiers

PMID38658343
PMCPMC11671183
OpenAlexW4395018254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.