Evidence map›Paper›PMID 40615490›Full record

ArticleScientific reports2025

Evaluation of clinical biomarkers for differential diagnosis of intravascular lymphoma and Still's disease.

Takahiro Shima, Yusuke Yamauchi, Masahiro Ohtsu, Hiroki Mitoma, Koichi Akashi, Koji Kato

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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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.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Takahiro ShimaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. shima.takahiro.993@m.kyushu-u.ac.jp.
Yusuke YamauchiDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Masahiro OhtsuDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Hiroki MitomaDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Koichi AkashiDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Koji KatoDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medicine, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravascular lymphoma (IVL) and Still's disease are rare conditions that present with overlapping systemic symptoms, including persistent fever and inflammatory responses, making differential diagnosis challenging. Misdiagnosis can lead to delays in appropriate treatment, which is particularly critical for IVL due to its aggressive nature. This retrospective cohort study aimed to identify clinically useful biomarkers for distinguishing IVL from Still's disease. IVL and Still's disease patients were analyzed alongside healthy controls. Laboratory assessments included serum ferritin, soluble interleukin-2 receptor (sIL-2R), and interleukin-18 (IL-18) levels. Ferritin levels were significantly higher in Still's disease, while sIL-2R levels were markedly elevated in IVL. IL-18 levels were significantly higher in Still's disease than in IVL, distinguishing the inflammatory profile of each disease. Receiver operating characteristic curve analysis demonstrated excellent discriminatory power, with sIL-2R and IL-18 achieving an area under the curve. These findings suggest that ferritin, sIL-2R, and IL-18 serve as potential biomarkers in differentiating IVL from Still's disease. Their incorporation into clinical practice may facilitate early and accurate diagnosis, reducing the risk of misdiagnosis and improving patient outcomes. Further large-scale studies are warranted to validate these results.

Indexed as

Biomarkers, TumorLymphomaStill's Disease, Adult-OnsetVascular NeoplasmsAdultAgedBiomarkersDiagnosis, DifferentialFemaleFerritinsHumansInterleukin-18MaleMiddle AgedReceptors, Interleukin-2Retrospective StudiesBiomarkersBiomarkers, TumorFerritinsInterleukin-18Receptors, Interleukin-2FerritinIL-18Intravascular lymphomasIL-2RStill’s disease

Identifiers

PMID40615490
PMCPMC12227761

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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.