Evidence map›Paper›PMID 40673286›Full record

ArticleCureus2025

A Case Report of Pemphigus Vulgaris Initially Misdiagnosed as Tinea Capitis: Infectious Consequences of Diagnostic Delay in a Patient Treated With Rituximab.

José C González-Rodríguez, Maria Cristofori, José A Antunez Oliva, Emmanuel E Cortés-Marín

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.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

José C González-RodríguezInternal Medicine, Universidad de Costa Rica, San José, CRI.
Maria CristoforiGeneral Practice, Universidad de Ciencias Médicas (UCIMED), San José, CRI.
José A Antunez OlivaInternal Medicine, Universidad de Costa Rica, San José, CRI.
Emmanuel E Cortés-MarínInternal Medicine, Universidad de Costa Rica, San José, CRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pemphigus vulgaris is a rare and potentially life-threatening autoimmune blistering disorder affecting the skin and mucous membranes. Prompt diagnosis and appropriate treatment are crucial in preventing severe complications. We report the case of a 53-year-old woman with severe pemphigus vulgaris who was misdiagnosed as having tinea capitis for approximately four months. During this time, she received multiple courses of systemic antifungals and antibiotics without clinical improvement, resulting in the progressive dissemination of lesions, including mucosal and ocular involvement. The correct diagnosis was ultimately established through skin biopsy, and immunosuppressive therapy with prednisone and rituximab was initiated. During immunosuppression, the patient developed severe infections due to

Indexed as

delayed diagnosisintravenous immunoglobulinpemphigus vulgarisrituximabtinea capitis

Identifiers

PMID40673286
PMCPMC12265973

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.