Evidence map›Paper›PMID 40696271›Full record

ArticleBMC ophthalmology2025

Multicentric Castleman disease presenting with orbital involvement progressing to TAFRO syndrome: a case report.

Yuanfeng Wei, Jing Qi, Jiawei Yan, Guangjian Gao, Xinyue Ji, Danning Yu, Wanru Chen, Dongping Huang

Abstract readCase Reports
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yuanfeng WeiDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Jing QiDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Jiawei YanDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Guangjian GaoDepartment of Imaging, The First Affiliated Yijishan Hospital of Wannan Medical College, Wuhu, People's Republic of China.
Xinyue JiDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Danning YuDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Wanru ChenDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China.
Dongping HuangDepartment of Hematology, The First Affiliated Hospital of Wannan Medical College, No.2, West Zheshan Road, Wuhu, People's Republic of China. huangdongping10000@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCastleman Disease (CD) can be unicentric or multicentric, with the ocular involvement rare; notably, the aggressive TAFRO syndrome (TS) is a subtype of idiopathic multicentric CD (iMCD). Ocular involvement in CD is rare, and to date, there are no reported cases of progression from ocular involvement to TAFRO syndrome. CASE PRESENTATION: A 45-year-old woman with a six-year history of progressive, non-painful eyelid redness and protrusion presented with recent systemic symptoms including limb edema and fever. Laboratory tests indicated anemia, thrombocytopenia, and elevated levels of Interleukin (IL)-6 and vascular endothelial growth factor (VEGF), while imaging revealed bilateral orbital masses, multiple lymphadenopathies, splenomegaly, and pleural and abdominal effusions. Diagnosed with iMCD-TAFRO syndrome through comprehensive laboratory tests and multi-site biopsies. After intensive chemotherapy treatment, the patient achieved complete remission (CR) and is currently under regular follow-up.

conclusionHere, we present the first reported case of iMCD initially manifesting with ocular symptoms, subsequently progressing to TS, highlighting the need for heightened clinical awareness and multidisciplinary collaboration in the diagnosis and management of such atypical aggressive disease.

Indexed as

Castleman DiseaseOrbital DiseasesDisease ProgressionFemaleHumansMiddle AgedTomography, X-Ray ComputedCastleman diseaseOcular involvementTAFRO syndromeThrombotic microangiopathyTreatment

Identifiers

PMID40696271
PMCPMC12281672

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.