Evidence map›Paper›PMID 41125374›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Paroxysmal Nocturnal Hemoglobinuria in Patients with Systemic Lupus Erythematosus: Diagnostic Challenges and Improvement with C5 Inhibitor Treatment.

Yasumasa Nakata, Takehiko Mori, Ayako Nogami

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. 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. Review
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.

Yasumasa NakataDepartment of Hematology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Japan.
Takehiko MoriDepartment of Hematology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Japan.
Ayako NogamiDepartment of Hematology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between paroxysmal nocturnal hemoglobinuria (PNH) and systemic lupus erythematosus (SLE) remains unclear. A 34-year-old woman undergoing treatment for SLE developed progressive direct Coombs-negative hemolytic anemia due to PNH, as revealed by flow cytometric analysis. Anemia worsened, accompanied by elevated lactate dehydrogenase (LDH) levels and severe fatigue. Administration of the C5 inhibitor crovalimab resulted in improvement of anemia, reduction in LDH levels, and rapid clinical improvement, without major adverse effects. To the best of our knowledge, this is the first reported case of SLE complicated by PNH that was successfully and safely treated with crovalimab.

Indexed as

Antibodies, Monoclonal, HumanizedHemoglobinuria, ParoxysmalLupus Erythematosus, SystemicAdultFemaleHumansTreatment OutcomeAntibodies, Monoclonal, HumanizedC5 inhibitorcrovalimabparoxysmal nocturnal hemoglobinuriasystemic lupus erythematosus

Identifiers

PMID41125374
PMCPMC13294596

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.