Evidence map›Paper›PMID 40260260›Full record

ArticleFrontiers in immunology2025

Case Report: Spesolimab for pyoderma gangrenosum in an undifferentiated oligoarthritis patient receiving anti-IL-17 therapy.

Weiwei Xin, Liyang Gu, Fang Du, Ting Li, Shuang Ye

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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.

Weiwei XinDepartment of Orthopedics, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Liyang GuDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Fang DuDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Ting LiDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.
Shuang YeDepartment of Rheumatology, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyoderma gangrenosum (PG) is a classic neutrophilic dermatosis often associated with inflammatory conditions, frequently leading to misdiagnosis and delayed treatment. Drug-induced and postoperative are two potential triggers of PG. A 70-year-old woman, who had been treated with Ixekizumab for undifferentiated oligoarthritis, presented with cribriform violaceous ulcers on her right posterior ankle after 8 months of debridement. A skin biopsy revealed a predominant neutrophilic infiltrate with no signs of infection after extensive microbiology investigation. The patient was diagnosed with pyoderma gangrenosum (PG) and achieved remission after receiving three doses of 900 mg intravenous Spesolimab every 4 weeks, along with discontinuation of Ixekizumab. The case highlights the successful use of Spesolimab (anti-IL36R) in treating PG and explores the potential "paradoxical phenomenon" linked to anti-IL-17 therapy, providing novel insights into immune dysregulation and therapeutic strategies.

Indexed as

Antibodies, Monoclonal, HumanizedArthritisInterleukin-17Pyoderma GangrenosumAgedFemaleHumansTreatment OutcomeAntibodies, Monoclonal, HumanizedInterleukin-17ixekizumabanit-IL36Rcase reportIL-17Ixekizumabpyoderma gangrenosumSpesolimabundifferentiated oligoarthritis

Identifiers

PMID40260260
PMCPMC12009905

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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.