Evidence map›Paper›PMID 40615948›Full record

ArticleBMC neurology2025

Efgartigimod therapy for immune checkpoint inhibitor-associated myasthenia gravis with myositis: a case report.

Feiteng Qi, Qi Sun, Haifeng Wang, Yong Zhang

Abstract readCase Reports
In one paragraph

Article in BMC neurology, 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
  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

4 authors.

Feiteng QiDepartment of Neurology, Ningbo Medical Center Lihuili Hospital, Ningbo, 315000, China.
Qi SunDepartment of Neurology, Ningbo Medical Center Lihuili Hospital, Ningbo, 315000, China.
Haifeng WangDepartment of Neurology, Ningbo Medical Center Lihuili Hospital, Ningbo, 315000, China.
Yong ZhangDepartment of Neurology, The People's Hospital of Xinchang, Shaoxing, 312500, China. zy15325218468@163.com.

Funding

the Funded Zhejiang Provincial Medical and Health Science and Technology Program 2021KY1033the Ningbo Medical and Health Brand Discipline PPXK2024-01
6 · The paper itself

Abstract

The advent of immune checkpoint inhibitors (ICIs) has transformed cancer therapy, but their association with immune-related adverse events presents a new and complex challenge for clinicians. In this report, we present the case of a 60-year-old Han Chinese woman who developed myasthenia gravis (MG) with myositis after pembrolizumab treatment for breast cancer. The patient presented with ptosis, slurred speech, limb weakness, and ocular fixation. Her creatine kinase level was elevated but she reported no muscle pain. The patient was diagnosed with ICI-associated MG with myositis. Before presenting to us, the patient had received low doses of intravenous methylprednisolone followed by oral prednisone, but her symptoms had continued to worsen. Her muscle strength improved significantly after we treated her with efgartigimod. This report is the first description of efgartigimod use in the treatment of ICI-associated MG with myositis, a new strategy for the treatment of this disease.

Indexed as

Immune Checkpoint InhibitorsMyasthenia GravisMyositisAntibodies, Monoclonal, HumanizedBreast NeoplasmsFemaleHumansMiddle AgedAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorspembrolizumabEfgartigimodImmune checkpoint inhibitorMyasthenia GravisMyositis

Identifiers

PMID40615948
PMCPMC12231739

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Registered trials

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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.