Evidence map›Paper›PMID 38803510›Full record

ArticleJCEM case reports2024

Methimazole Desensitization in a Patient Experiencing a Thionamide-induced Hypersensitivity Reaction.

Joseph Arguinchona, Avanika Mahajan, Alexei Gonzalez-Estrada, Eleanna De Filippis

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Joseph ArguinchonaDepartment of Medicine, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.ORCID https://orcid.org/0000-0002-4114-3572
Avanika MahajanDepartment of Medicine, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.ORCID https://orcid.org/0000-0002-3323-6787
Alexei Gonzalez-EstradaDivision of Allergy, Asthma and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.ORCID https://orcid.org/0000-0002-5754-6130
Eleanna De FilippisDepartment of Endocrinology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.ORCID https://orcid.org/0000-0002-5622-6709

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with newly diagnosed Graves disease often elect for treatment with the drug methimazole (MMI) over alternative therapies. However, MMI can commonly result in skin allergy that in severe cases can lead to discontinuation of therapy. We present a case of Graves thyrotoxicosis with a delayed hypersensitivity reaction while on MMI. The patient was successfully treated with a novel, individualized, 27-day desensitization protocol that resulted in tolerance of MMI with subsequent improvement in thyroid indices. Previous literature has offered various rapid desensitization protocols to MMI for immediate type hypersensitivity reactions. However, in nonimmediate, delayed hypersensitivity reactions, a slower desensitization protocol can be considered. As demonstrated in this case, desensitization to MMI is a reasonable alternative in patients who wish to avoid definitive therapy who develop an initial adverse reaction to MMI, as this can occur in up to 13% of treated cases.

Indexed as

desensitizationGraves diseasehypersensitivityhyperthyroidismmethimazole

Identifiers

PMID38803510
PMCPMC11128937

What OpenQuestion holds

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Registered trials

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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.