Evidence map›Paper›PMID 40385904›Full record

ArticleCureus2025

Infliximab-Induced Vasculitis in a Rheumatoid Arthritis Patient: A Comprehensive Case Report.

Thanda Aung, Mia Celestin

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

2 authors.

Thanda AungRheumatology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Mia CelestinRheumatology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor necrosis factor (TNF) inhibitors are widely used biologics in the management of rheumatoid arthritis (RA), but they can occasionally induce paradoxical inflammatory manifestations. We present a case of a 28-year-old female patient with well-controlled rheumatoid arthritis who developed leukocytoclastic vasculitis (LCV) secondary to infliximab therapy. Despite initial treatment with alternative biologics and corticosteroids, her condition required escalation to rituximab therapy. Histopathological examination confirmed leukocytoclastic vasculitis involving vessels in the deep dermis. After 10 months of rituximab treatment, the patient experienced complete resolution of the vasculitis. This case highlights the importance of recognizing rare but significant cutaneous adverse effects of TNF inhibitors and illustrates the challenges in management when conventional therapy proves ineffective. Clinicians should maintain vigilance for paradoxical inflammatory responses when treating patients with biologic agents and consider appropriate therapeutic alternatives when such complications arise.

Indexed as

infliximablekocytoclastic vasculitisrheumatoid arthritisskin ulcertnf inhibitortumor necrosis factor-α(tnf-α) inhibitorvasculitis

Identifiers

PMID40385904
PMCPMC12085235

What OpenQuestion holds

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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.