Evidence map›Paper›PMID 40469298›Full record

ReviewFrontiers in immunology2025

Malakoplakia mimicking malignant rectal carcinoma with bone erosion in a SLE patient: diagnosis insights from a case report and literature review.

Lingshu Zhang, Jingyao Zhang, Ji Wen, Hang Yang, Ling Sun, Tianwen Huang, Yixin Sun, Wei Jiang, Chunyu Tan

Abstract readCase ReportsReview
In one paragraph

Review 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 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. Article
  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

9 authors.

Lingshu ZhangDepartment of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jingyao ZhangDepartment of Core Facilities, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Ji WenDepartment of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Hang YangDepartment of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Ling SunDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Tianwen HuangWest China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Yixin SunWest China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Wei JiangDepartment of Traditional Chinese Medicine, University-town Hospital of Chongqing Medical University, Chongqing, China.
Chunyu TanDepartment of Rheumatology and Immunology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malakoplakia, an uncommon granulomatous inflammatory disease, is frequently associated with impaired immune function in adults, and its occurrence in patients with systemic autoimmune diseases such as SLE has not been widely studied. The variable clinical manifestations and sometimes non - specific radiological findings of malakoplakia can be misleading, thereby posing a challenge for diagnosis. We report a case of colon and bone malakoplakia mimicking malignant colonic carcinoma in an 18-year-old male with systemic lupus erythematosus (SLE). This case illustrates the diagnostic challenges associated with malakoplakia in patients with SLE. The presence of non-specific symptoms and the mimicry of more common and serious conditions can lead to delayed diagnosis and inappropriate management. Clinicians should be aware of the potential for unusual infectious processes in patients with rheumatic diseases, especially when dealing with abscess-like symptoms. Understanding the pathophysiology and clinical features of malakoplakia in these patients is essential for accurate diagnosis and timely intervention.

Indexed as

Lupus Erythematosus, SystemicMalacoplakiaRectal NeoplasmsAdolescentDiagnosis, DifferentialHumansMalebone erosioncolonmalakoplakiaMichelis Gutmann bodySLE

Identifiers

PMID40469298
PMCPMC12133823

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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.