ReviewBMC cardiovascular disorders2025
Abdominal pain as the sole initial manifestation of ANCA-positive EGPA with myocarditis: a case report and literature review.
Review in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Correction: Abdominal pain as the sole initial manifestation of ANCA-positive EGPA with myocarditis: a case report and literature review.BMC cardiovascular disorders · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
backgroundEosinophilic granulomatosis with polyangiitis (EGPA) typically presents with asthma, but we report an anti-neutrophil cytoplasmic antibody (ANCA)-positive EGPA case with an unusual presentation: isolated abdominal pain as the initial manifestation of systemic vasculitis, which progressed rapidly to life-threatening cardiac involvement in the absence of overt respiratory symptoms at onset. CASE PRESENTATION: A 70-year-old female presented with abdominal pain and was found to have eosinophilia with elevated cardiac biomarkers. Despite normal coronary angiography, cardiac magnetic resonance revealed left ventricular hypoperfusion and an apical thrombus, leading to a diagnosis of eosinophilic myocarditis and vasculitis by biopsy. Symptoms and thrombus resolved with glucocorticoids without anticoagulation. Cyclophosphamide was added for persistent cardiac dysfunction.
conclusionsANCA-positive EGPA can present atypically with isolated abdominal pain and rapid cardiac involvement. Therefore, this triad warrants urgent evaluation and early immunosuppression. Thrombus resolution without anticoagulation further supports an inflammation-driven pathology.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.