Evidence map›Paper›PMID 40575211›Full record

ArticleCureus2025

Corticosteroid-Refractory Bullous Pemphigoid Due to Immune Checkpoint Inhibitors: A Telemedicine Challenge.

Tom Marco, Aaron Bertolo, Rishab Srivastava, Kenneth Barker, Alejandro Recio Boiles

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. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Tom MarcoInternal Medicine, University of Arizona, College of Medicine - Tucson, Tucson, USA.
Aaron BertoloInternal Medicine, University of Arizona, Tucson, USA.
Rishab SrivastavaMedicine, University of Arizona, Tucson, USA.
Kenneth BarkerInternal Medicine, University of Arizona, College of Medicine - Tucson, Tucson, USA.
Alejandro Recio BoilesOncology and Hematology, University of Arizona, College of Medicine - Tucson, Tucson, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have become the new standard of care for many malignancies due to their higher efficacy and safer toxicity profile. However, immune-related adverse events (irAEs) can occur unpredictably and in a wide range of organs. Most irAEs present with mild to moderate toxicities. Rarely, severe and life-threatening events occur and can be fatal. Therefore, immediate recognition and management of irAEs are important. Early diagnosis and initiation of treatment with corticosteroids, coupled with diligent follow-up by specialists, are critical steps in optimizing outcomes for patients experiencing irAEs. We present a case report that illustrates the development and progression of severe cutaneous toxicity presenting as a rare bullous pemphigoid rash at the end of two years on nivolumab. It is essential to note that this occurred in an outpatient setting during the COVID-19 pandemic. In coordination with rural providers and telemedicine, the patient's corticosteroid-refractory ICI toxicity was treated successfully.

Indexed as

bullous pemphigoidclear renal cell carcinomadrug-induced bullous pemphigoidimmune checkpoint inhibitor adverse effectsimmune checkpoint inhibitorsimmune-related adverse eventstelehealth services

Identifiers

PMID40575211
PMCPMC12201865

What OpenQuestion holds

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LicenceCC BY
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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.