Evidence map›Paper›PMID 40046155›Full record

ArticleThe Brown journal of hospital medicine2023

Purtscher-like Retinopathy in a Patient with Acute Pancreatitis: A Case Report and Literature Review.

Marianna Almpani, Faris Ghannam, Ana M Roldan, Michael Walger, Sandeep Mishra

Abstract readCase Reports
In one paragraph

Article in The Brown journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

5 authors.

Marianna AlmpaniDepartment of Internal Medicine Mass General Brigham - Salem Hospital, Salem, MA, USA.ORCID https://orcid.org/0000-0003-1703-7531
Faris GhannamDepartment of Internal Medicine Mass General Brigham - Salem Hospital, Salem, MA, USA.
Ana M RoldanDepartment of Internal Medicine Mass General Brigham - Salem Hospital, Salem, MA, USA.
Michael WalgerDepartment of Emergency Medicine Mass General Brigham - Salem Hospital, Salem, MA, USA.
Sandeep MishraDepartment of Internal Medicine Mass General Brigham - Salem Hospital, Salem, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purtscher-like retinopathy is a rare chorioretinopathy associated with a non-traumatic inciting event including acute pancreatitis, renal failure, long-bone injury, chest compression, connective tissue diseases and hematologic disorders. We present the case of a 33-year-old woman with abdominal pain and visual changes that was diagnosed with acute pancreatitis. Fundoscopic examination revealed bilateral diffuse flame hemorrhages and retinal whitening (Purtscher flecken), which were diagnostic of Purtscher-like retinopathy secondary to acute pancreatitis. The patient improved without intravenous or intravitreal corticosteroid administration. Follow up at 5 and 8 months revealed improved vision, complete resolution of the retinal pathology with residual inner retinal thickening on ocular coherence tomography (OCT), consistent with sustained retinal damage. Given that Purtscher-like retinopathy is associated with higher morbidity and mortality rates in patients with acute pancreatitis, high suspicion of this pathology and a thorough clinical assessment are imperative. Since half of the patients suffer life-long visual changes, further research is required for the development of efficacious treatment options.

Indexed as

acute pancreatitiscase reportPurtscher fleckenPurtscher-like retinopathy

Identifiers

PMID40046155
PMCPMC11878885

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.