Evidence map›Paper›PMID 39712403›Full record

ArticleProceedings (Baylor University. Medical Center)2025

Breaking the storm: ruxolitinib as a lifeline in refractory hemophagocytic lymphohistiocytosis with macrophage activation syndrome.

Tomas Escobar Gil, Angelica Ruby Garcia, Kimberly Nguyen, Malik Alqawasmi, Oscar Felipe Borja Montes, Leonard Noronha, Daniel Babu

Abstract readCase Reports
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2025. 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

7 authors.

Tomas Escobar GilDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.ORCID https://orcid.org/0000-0001-6761-1170
Angelica Ruby GarciaDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Kimberly NguyenDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Malik AlqawasmiDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Oscar Felipe Borja MontesDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Leonard NoronhaDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Daniel BabuDepartment of Pathology, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report presents the management of a 25-year-old woman with refractory hemophagocytic lymphohistiocytosis (HLH) secondary to adult-onset Still's disease. Despite initial treatment with corticosteroids and biologic therapies, including anakinra and tocilizumab, her condition continued to deteriorate, necessitating intensive care unit admission. Following multidisciplinary consultation, ruxolitinib therapy, a Janus kinase (JAK) inhibitor targeting hyperinflammation, was initiated. Remarkably, the patient exhibited significant clinical improvement with resolution of fever, normalization of inflammatory markers, and organ function recovery. This case underscores the potential of ruxolitinib as a therapeutic option in refractory cases of HLH or macrophage activation syndrome, highlighting the importance of exploring novel therapies in refractory and challenging clinical scenarios.

Indexed as

HematologyHLHimmunologyoncologyruxolitinib

Identifiers

PMID39712403
PMCPMC11657089

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.