Evidence map›Paper›PMID 38831985›Full record

ArticleClinical case reports2024

Severe finger necrosis in antisynthetase syndrome with positive anti-OJ antibodies.

Yugo Horiuchi, Kenichi Hashimoto, Ryochi Yoshida, Akinori Sekizawa, Akatsuki Kubota, Meiko Maeda, Tatsushi Toda, Yuji Tanaka

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

8 authors.

Yugo HoriuchiDepartment of General Medicine National Defense Medical College Tokorozawa Saitama Japan.ORCID https://orcid.org/0000-0002-7519-8424
Kenichi HashimotoDepartment of General Medicine National Defense Medical College Tokorozawa Saitama Japan.ORCID https://orcid.org/0000-0001-6838-1215
Ryochi YoshidaDivision of Hematology and Rheumatology, Department of Internal Medicine National Defense Medical College Tokorozawa Saitama Japan.ORCID https://orcid.org/0000-0001-5215-2266
Akinori SekizawaDepartment of General Medicine National Defense Medical College Tokorozawa Saitama Japan.
Akatsuki KubotaDepartment of Neurology The University of Tokyo Tokyo Japan.
Meiko MaedaDepartment of Neurology The University of Tokyo Tokyo Japan.
Tatsushi TodaDepartment of Neurology The University of Tokyo Tokyo Japan.
Yuji TanakaDepartment of General Medicine National Defense Medical College Tokorozawa Saitama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: In a patient with anti-aminoacyl tRNA synthetase antibody and anti-OJ antibody syndrome, interventions likes warming, prostaglandins, and antiplatelets failed. However, prednisolone pulse treatment rapidly halted disease progression. Patients with mild interstitial pneumonia, myositis, and extremity necrosis should be promptly considered for anti-synthetase syndrome and receive immunosuppression after ruling out other causes. Abstract: Anti-aminoacyl tRNA synthetase (ARS) autoantibodies are myositis-specific, and patients who test positive for ARS and have common clinical features are usually diagnosed with antisynthetase antibody syndrome (antisynthetase syndrome). Anti-ARS antibodies include histidyl-tRNA synthetase-1 (Jo-1), anti-threonyl (PL-7), anti-alanyl (PL-12), anti-glycyl (EJ), anti-asparaginyl (KS), anti-tyrosyl (Ha), and anti-phenylalanyl (Zo) tRNA synthetases. Among these, anti-isoleucyl tRNA synthetase (OJ) autoantibodies are extremely rare, and patients with these are frequently complicated by interstitial pneumonia. We report the case of an older man with ARS antibody syndrome who tested positive for anti-OJ and anti-Sjögren's-syndrome-related antigen A (Ro-52) antibodies. He had muscle weakness due to myositis and unparalleled rapid and severe finger necrosis. Pulsed prednisolone effectively treated the myositis symptoms and terminated the progression of finger necrosis.

Indexed as

anti‐OJ antibodiesanti–synthetase antibody syndromeimmunoprecipitationmyositissevere finger necrosis

Identifiers

PMID38831985
PMCPMC11144602

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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.