Evidence map›Paper›PMID 40978900›Full record

ArticleCureus2025

Nivolumab-Induced Fasciitis Mimicking Scleroderma: A Diagnostic Challenge.

Rida Jannat, Michael Kshatri, Rupak Thapa

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. Immune checkpoint inhibitor-induced eosinophilic fasciitis: A pharmacovigilance and EADV Task force study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Observational
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

3 authors.

Rida JannatRheumatology, Wake Forest Baptist Medical Center, Winston-Salem, USA.
Michael KshatriInternal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, USA.
Rupak ThapaRheumatology, Atrium Health Wake Forest Baptist Health, Winston-Salem, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 74-year-old male on nivolumab for desmoplastic melanoma developed progressive skin tightening, woody induration, and restricted mobility, initially suggestive of systemic sclerosis. He lacked classic scleroderma features (e.g., Raynaud's, digital ulcers) but had eosinophilia (1100 cells/µL) and antinuclear antibody (ANA)/ ribonucleoprotein (RNP) positivity. MRI confirmed eosinophilic fasciitis (EF), prompting discontinuation of nivolumab and initiation of high-dose corticosteroids and mycophenolate, leading to gradual improvement over six months. This case highlights the diagnostic overlap between immune checkpoint inhibitor (ICI)-induced scleroderma-like syndrome and EF, emphasizing the need for early recognition and tailored immunosuppression to mitigate immune-related adverse events (irAEs) while balancing cancer therapy. Awareness of atypical presentations (e.g., hand/face involvement in EF) is critical for timely intervention.

Indexed as

eosinophilic fasciitisimmune check point inhibitorsiraesnivolumab-related adverse eventsscleroderma mimic

Identifiers

PMID40978900
PMCPMC12445242

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.