Evidence map›Paper›PMID 40958596›Full record

ArticleImmunotherapy2025

Multifocal sclerotic lesions in Erdheim-Chester disease successfully treated with tocilizumab.

Henk-Jan Boiten, E J Libourel

Abstract readCase Reports
In one paragraph

Article in Immunotherapy, 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

2 authors.

Henk-Jan BoitenDepartment of Internal Medicine - Hematology, Franciscus Gasthuis and Vlietland, Schiedam, The Netherlands.ORCID 0000-0002-6381-9908
E J LibourelDepartment of Internal Medicine - Hematology, Franciscus Gasthuis and Vlietland, Schiedam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 58-year-old woman presented to the outpatient clinic with invalidating bone pain in the proximal lower extremities. Laboratory testing showed increased inflammation parameters with a normocytic anemia. Bone scintigraphy revealed increased uptake in both radii, distal femurs, tibiae, and fibulae. PET/CT scanning showed irregular sclerotic bone lesions without other abnormalities. Multiple bone biopsies showed histiocytes expressing CD68 and Factor XIIIa. Metastatic or hematopoietic neoplasms were ruled out. A diagnosis of Erdheim-Chester disease (ECD) with solely osseous involvement was made. Treatment with tocilizumab weekly, an IL-6 receptor antibody, was successful. Tocilizumab appears to be a promising agent for the treatment of patients with Erdheim-Chester disease with limited organ involvement.

Indexed as

Antibodies, Monoclonal, HumanizedErdheim-Chester DiseaseAntigens, CDAntigens, Differentiation, MyelomonocyticBone and BonesCD68 MoleculeFactor XIIIaFemaleHistiocytesHumansMiddle AgedPositron Emission Tomography Computed TomographyReceptors, Interleukin-6Treatment OutcomeAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 antigen, humanCD68 MoleculeFactor XIIIaReceptors, Interleukin-6tocilizumabbone involvementErdheim–Chester diseasehistiocytosisIL-6tocilizumab

Identifiers

PMID40958596
PMCPMC12582043

What OpenQuestion holds

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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.