Evidence map›Paper›PMID 40368783›Full record

ArticleInternal medicine (Tokyo, Japan)2025

An Autopsied Case of Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids for Over Four Years.

Yusuke Sonezaki, Wataru Shiraishi, Izumi Kinoshita, Hiroyuki Honda, Yusuke Nakazawa, Ayano Matsuyoshi, Yukiko Inamori, Haruka Sonezaki, Akihiro Masaki, Ryoma Tatsumoto and 6 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Yusuke SonezakiDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Wataru ShiraishiDepartment of Neurology, Kokura Memorial Hospital, Japan.
Izumi KinoshitaDepartment of Pathology, Kokura Memorial Hospital, Japan.
Hiroyuki HondaNeuropathology Center, National Hospital Organization, Omuta National Hospital, Japan.
Yusuke NakazawaDepartment of Neurology, Kokura Memorial Hospital, Japan.
Ayano MatsuyoshiDepartment of Neurology, Kokura Memorial Hospital, Japan.
Yukiko InamoriDepartment of Neurology, Kokura Memorial Hospital, Japan.
Haruka SonezakiDepartment of Neurology, Kokura Memorial Hospital, Japan.
Akihiro MasakiDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Ryoma TatsumotoDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Hiroshi SugaDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Masahiro NakagakiDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Yuji HidakaDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Fumiko KuwaharaDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Kenji HaradaDepartment of Nephrology, Kokura Memorial Hospital, Japan.
Hidetoshi KanaiDepartment of Nephrology, Kokura Memorial Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) is a rare inflammatory disease of the central nervous system, and many details, including pathological findings, are still unclear. We herein report a man in his 70s who had been diagnosed with CLIPPERS 4.5 years ago. He was treated with corticosteroids, and his symptoms were managed; however, he eventually died of coronavirus disease 2019. A postmortem autopsy revealed perivascular lymphocyte aggregation and demyelination centered in the brainstem and cerebellum. This is the world's first autopsied case of CLIPPERS with more than four years of follow-up.

Indexed as

LymphocytesPonsAgedAutopsyChronic DiseaseCOVID-19Fatal OutcomeHumansInflammationMaleCD3+ cellsCLIPPERSdemyelinationlymphocyteslymphomapathology

Identifiers

PMID40368783
PMCPMC12702542

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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.