Evidence map›Paper›PMID 39108615›Full record

ArticleGynecologic oncology reports2024

Pembrolizumab-induced myasthenia gravis: Two patients' experiences.

Leslie Montag, Rachael Piver, Amy Vidalin, Marian Johnson, Bunja Rungruang, Robert Higgins

Abstract readCase Reports
In one paragraph

Article in Gynecologic oncology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
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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

6 authors.

Leslie MontagMedical College of Georgia, Augusta, GA, United States.
Rachael PiverDivision of Gynecologic Oncology, Medical College of Georgia at Augusta University, Augusta, GA, United States.
Amy VidalinDepartment of Obstetrics and Gynecology, Medical College of Georgia at Augusta University, Augusta, GA, United States.
Marian JohnsonDivision of Gynecologic Oncology, Medical College of Georgia at Augusta University, Augusta, GA, United States.
Bunja RungruangDivision of Gynecologic Oncology, Medical College of Georgia at Augusta University, Augusta, GA, United States.
Robert HigginsDivision of Gynecologic Oncology, Medical College of Georgia at Augusta University, Augusta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Checkpoint inhibitors are increasingly used to treat patients with gynecologic malignancies and can cause rare and unusual side effects, also known as immunotoxicities, that are rarely observed in patients receiving traditional immunotherapy. If these are not identified and treated, they can cause disability and even death for patients undergoing treatment. This report describes the range of pembrolizumab-induced myasthenia gravis (MG) immunotoxicity through two cases. The first patient is an 85-year-old woman with recurrent vulvar carcinoma who completed two cycles of pembrolizumab. She had a severe presentation leading to respiratory failure. The second patient is an 80-year-old woman with recurrent serous endometrial carcinoma who developed isolated ocular myasthenia after her second cycle of pembrolizumab. The symptoms and physical examination findings described here illustrate the breadth of symptom severity associated with pembrolizumab-induced MG and importance of early identification and treatment to minimize symptoms and improve outcomes.

Indexed as

Checkpoint inhibitorImmunotherapyMyasthenia gravisPembrolizumab

Identifiers

PMID39108615
PMCPMC11301092

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.