Evidence map›Paper›PMID 41179275›Full record

ArticleJCEM case reports2025

Therapeutic Plasma Exchange in Severe Graves Disease With Hematologic and Hepatic Complications.

Vivek Jha, Amal Shaharyar, Kavyanjali Kundu, Siddharth Madhad, Sanja Medenica, Pinaki Dutta

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 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

6 authors.

Vivek JhaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.ORCID https://orcid.org/0000-0001-7247-5492
Amal ShaharyarDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Kavyanjali KunduDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Siddharth MadhadDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.
Sanja MedenicaDepartment of Endocrinology, Internal Clinic of the Clinical Center of Montenegro, Podgorica 81000, Montenegro.
Pinaki DuttaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India.ORCID https://orcid.org/0000-0001-5415-1611

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report 2 young women with severe Graves thyrotoxicosis in whom antithyroid drugs were contraindicated-one due to drug induced moderate neutropenia and the other due to Graves disease-associated hepatic dysfunction and cytopenia. Both patients presented with life-threatening manifestations of thyrotoxicosis and were unsuitable for immediate surgery or radioiodine therapy. Therapeutic plasma exchange (TPE) was used as a bridging strategy to achieve rapid biochemical control. In the first case, a single session of TPE enabled prompt stabilization for total thyroidectomy. In the second, 3 sessions of TPE led to marked clinical improvement, reversal of hepatic dysfunction and cytopenia, and facilitated successful radioiodine ablation. Neither patient experienced TPE-related complications. These 2 cases highlight the utility of TPE as a safe and effective interim therapy in complicated thyrotoxicosis, allowing timely transition to definitive treatment in high-risk clinical settings where conventional antithyroid therapies are contraindicated.

Indexed as

cytopeniaGraves diseasehepatic dysfunctionplasmapheresis

Identifiers

PMID41179275
PMCPMC12576408

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.