Evidence map›Paper›PMID 40799898›Full record

ArticleCureus2025

Nocebo Effect During Letrozole Desensitization: A Case Report.

Asimina Koulouridi, Panayiota Nikiphorou, Panayiota Gelastou, Constantinos Pitsios

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.

Asimina KoulouridiDepartment of Oncology, German Oncology Center, Limassol, CYP.
Panayiota NikiphorouInternal Medicine Clinic, Nicosia General Hospital, State Health Services Organization, Nicosia, CYP.
Panayiota GelastouDepartment of Oncology, German Oncology Center, Limassol, CYP.
Constantinos PitsiosDepartment of Allergy and Immunology, Medical School, University of Cyprus, Nicosia, CYP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes the case of a 46-year-old woman with breast cancer and a history of multiple drug hypersensitivity reactions, who developed atypical allergic-like symptoms with three different adjuvant endocrine therapy regimens. As the use of an aromatase inhibitor was considered essential for her treatment, a three-day desensitization protocol to letrozole was implemented. During the protocol, she developed pruritic erythema following placebo administration. Despite this, the protocol was completed, with only mild side effects (oropharyngeal pruritus and headache), which were managed symptomatically. A diagnosis of nocebo reaction was disclosed to the patient after the desensitization process. She continued daily treatment with 2.5 mg of letrozole without further hypersensitivity complications.

Indexed as

aromatase inhibitor therapybreast cancer managementdrug allergy documentationdrug desensitizationdrug provocation testdrug-related side effects and adverse reactionsfacticious disorderhealthcare ethicsletrozole

Identifiers

PMID40799898
PMCPMC12342109

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.