Evidence map›Paper›PMID 40755880›Full record

ReviewSkin health and disease2025

The case for etanercept in the management of toxic epidermal necrolysis.

Encarl Uppal, Kate Dear, Lesley Exton, David Ryan, Christopher B Bunker

Abstract readReview
In one paragraph

Review in Skin health and disease, 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

5 authors.

Encarl UppalDepartment of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-8498-3408
Kate DearDepartment of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-0302-8848
Lesley ExtonClinical Standards Unit, British Association of Dermatologists, London, UK.ORCID https://orcid.org/0000-0003-0073-1885
David RyanDepartment of Clinical Pharmacology and Therapeutics, University College London Hospitals NHS Foundation Trust, London, UK.
Christopher B BunkerDepartment of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-6693-7483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Toxic epidermal necrolysis (TEN) is a dermatological emergency with devastating morbidity and mortality rates. It is most often caused by medications. Management guidelines have focused on conservative measures, partly due to a previous lack of large randomized controlled trials evaluating systemic agents, and because experts have differing views on initiating active medical management. Tumour necrosis factor alpha (TNF-α) is a cytokine that is involved in immune defence against various infectious agents by exerting a powerful anti-inflammatory effect. Inhibition of TNF-α is well established in the management of noninfectious inflammatory (including dermatological) conditions. Patients with TEN have prominent expression of TNF-α in keratinocytes and macrophages in affected skin as well as in blister fluid. This review article aims to summarize the recent and emerging evidence for using anti-TNF-α treatment, particularly etanercept, in the management of TEN.

Identifiers

PMID40755880
PMCPMC12311169

What OpenQuestion holds

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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.