Evidence map›Paper›PMID 40510611›Full record

ArticleKidney medicine2025

A Case of Acute Kidney Injury During Eltrombopag Use Successfully Treated With Plasma Exchange in Addition to Antithrombotic Therapy.

Noriko Ueno, Yasuo Kusunoki, Toru Kida, Shun Oda, Akane Yamano, Fumi Nakayama, Shungo Fukuda, Natsuko Ikeda, Tomoko Namba-Hamano, Masato Homma and 1 more

Abstract readCase Reports
In one paragraph

Article in Kidney medicine, 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. Review
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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

11 authors.

Noriko UenoDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Yasuo KusunokiDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Toru KidaDepartment of Hematology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Shun OdaDepartment of Pharmaceutical Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Akane YamanoDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Fumi NakayamaDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Shungo FukudaDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Natsuko IkedaDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.
Tomoko Namba-HamanoDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Masato HommaDepartment of Pharmaceutical Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Masanobu TakejiDepartment of Nephrology, Toyonaka Municipal Hospital, Toyonaka-city, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eltrombopag (EPAG), a thrombopoietin receptor agonist, has emerged as a valuable option for the treatment of immune thrombocytopenic purpura. However, its use has raised concerns regarding thrombotic complications. Herein, we present a case involving a 60-year-old woman with immune thrombocytopenic purpura and underlying antiphospholipid antibody syndrome who developed abdominal pain and acute kidney injury shortly after initiating EPAG therapy. Kidney histopathology revealed thrombi in the afferent glomerular arterioles, suggesting a link between EPAG and thrombotic events. Despite EPAG discontinuation, the patient's kidney function deteriorated, necessitating hemodialysis. As an additional treatment, plasma exchange (PE) was performed to remove EPAG. High-performance liquid chromatography analysis showed a reduction in the EPAG concentration after PE, indicating partial removal. The patient's kidney function gradually improved, and hemodialysis was successfully discontinued. The findings from this case suggest that thrombotic complications should be considered when administering EPAG to patients with antiphospholipid antibody syndrome. PE may be a useful treatment option if thrombosis is induced by EPAG.

Indexed as

acute kidney injuryantiphospholipid syndromeEltrombopaghemodialysisplasma exchange

Identifiers

PMID40510611
PMCPMC12152627

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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.