Evidence map›Paper›PMID 39734968›Full record

ArticleCureus2024

Intravenous Efgartigimod Alfa as Initial Monotherapy for Disabling Ocular Myasthenia in an Elderly Patient with Multiple Comorbidities.

Karen Inzirillo, Octavio Carranza, Marc A Swerdloff

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. Review
  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

3 authors.

Karen InzirilloNeurology, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Baptist Health South Florida, Boca Raton, USA.
Octavio CarranzaNeurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.
Marc A SwerdloffNeurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myasthenia gravis (MG) is one of the most common neuromuscular disorders. It is an antibody-mediated autoimmune disease affecting the neuromuscular junction, presenting with fluctuating muscle weakness that commonly affects the ocular, bulbar, proximal, and respiratory muscles. Treating MG in the older population with preexisting comorbidities can be challenging. Intravenous efgartigimod alfa (EA) was successfully used as an initial monotherapy for a 90-year-old woman with acetylcholine receptor seropositive MG and stage IV colon adenocarcinoma who was referred for visually disabling bilateral eyelid ptosis. Standard MG therapy was considered but not chosen due to relative contraindications and anticipated adverse effects. EA infusions were well tolerated and corrected her ptosis after two weeks of treatment. EA infusion may be considered the first-line therapy for selected patients with seropositive generalized MG who have disabling ocular symptoms.

Indexed as

autoimmune diseaseefgartigimod alfaocular myastheniaolder populationpositive antibodiesptosis

Identifiers

PMID39734968
PMCPMC11682844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.