Evidence map›Paper›PMID 39104535›Full record

ArticleFrontiers in immunology2024

Autoimmune encephalitis followed by hemophagocytic lymph histiocytosis: a case report.

Li Huang, Jie Tan, Peihao Lin, Zixuan Chen, Qihua Huang, Haiyan Yao, Lihong Jiang, Baoyi Long, Youming Long

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  20. Inflammatory Mammary Carcinoma in a Captive Bengal Tiger (Animals : an open access journal from MDPI · 2026
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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.

Li Huang *Department of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jie Tan *Second Clinical College, Guangzhou Medical University, Guangzhou, China.
Peihao Lin *Department of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zixuan ChenSecond Clinical College, Guangzhou Medical University, Guangzhou, China.
Qihua HuangSecond Clinical College, Guangzhou Medical University, Guangzhou, China.
Haiyan YaoDepartment of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Lihong JiangDepartment of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Baoyi LongFirst Clinical College, Changsha Medical University, Changsha, Hunan, China.
Youming LongDepartment of Neurology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to report three cases of autoimmune encephalitis followed by hemophagocytic lymphohistiocytosis. Methods: Data of relevant patients treated between 2019 and 2022 were retrospectively collected from the Department of Neurology at the Second Affiliated Hospital of Guangzhou Medical University. Results: The age at onset of the three patients was 37, 63, and 36 years, respectively. All three patients were female and presented with cognitive dysfunction and seizures. Behavioral and psychological symptoms were also observed in two cases. All patients were positive for autoantibodies in both the cerebrospinal fluid and serum, while two showed multiple abnormal brain signals on magnetic resonance imaging. All patients exhibited hypocytosis and elevated soluble CD25 and serum ferritin levels. The final diagnoses in two cases were lymphomas, while the remaining case without tumors suffered from a severe infection. All patients received immunotherapy, and the two with lymphoma received anti-tumor treatment. The patient with infection died, and two patients with tumors improved after chemotherapy. Conclusion: Autoimmune encephalitis followed by hemophagocytic lymphohistiocytosis is a rare and severe condition. Prompt attention should be paid to the decline in blood cell counts, particularly in patients who show a slight improvement after immunotherapy or have a risk of lymphoma. Screening for potential tumors and infections and early treatment may help these patients.

Indexed as

EncephalitisHashimoto DiseaseLymphohistiocytosis, HemophagocyticAdultAutoantibodiesFemaleHumansMagnetic Resonance ImagingMiddle AgedRetrospective StudiesAutoantibodiesautoantibodyautoimmune encephalitishemophagocytic lymphohistiocytosislymphomaparaneoplastic neurologic syndromes

Identifiers

PMID39104535
PMCPMC11298385

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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.