Evidence map›Paper›PMID 41372712›Full record

ArticleClinical rheumatology2026

Cutaneous manifestations of autoinflammatory bone diseases: a retrospective multicenter study.

Nimet Öner, Müşerref Kasap Cüceoğlu, Elif Kılıç Könte, Eda Kayhan, Mustafa Çakan, Selcan Demir, Özge Baba, Gülşah Kılbaş, Nihal Karaçayır, Melike Mehveş Kaplan and 13 more

Abstract readMulticenter Study
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In one paragraph

Article in Clinical rheumatology, 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

23 authors.

Nimet ÖnerDivision of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey. nimetpatat@gmail.com.ORCID http://orcid.org/0000-0003-0403-151X
Müşerref Kasap CüceoğluDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0002-9957-8894
Elif Kılıç KönteDivision of Pediatric Rheumatology, Department of Pediatrics, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-8174-5308
Eda KayhanDivision of Pediatric Rheumatology, Department of Pediatrics, Erciyes University Medical Faculty, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-0064-870X
Mustafa ÇakanDivision of Pediatric Rheumatology, Department of Pediatrics, Zeynep Kamil Women and Children's Diseases Training and Research Hospital, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-1034-6406
Selcan DemirDivision of Pediatric Rheumatology, Department of Pediatrics, Eskisehir Osmangazi University, Eskişehir, Turkey.ORCID http://orcid.org/0000-0002-4320-8632
Özge BabaDivision of Pediatric Rheumatology, Department of Pediatrics, Medical Faculty, Karadeniz Technical University, Trabzon, Turkey.ORCID http://orcid.org/0000-0002-2442-1550
Gülşah KılbaşDivision of Pediatric Rheumatology, Department of Pediatrics, Pamukkale University, School of Medicine, Denizli, Turkey.ORCID http://orcid.org/0000-0001-5932-1990
Nihal KaraçayırDivision of Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0001-5038-7539
Melike Mehveş KaplanDivision of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-8012-2774
Ezgi Deniz BatuDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1065-2363
Mehmet YıldızDivision of Pediatric Rheumatology, Department of Pediatrics, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-7834-4909
Aydan Yekedüz BülbülDivision of Pediatric Rheumatology, Department of Pediatrics, Erciyes University Medical Faculty, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-6725-537X
Zahide Ekici TekinDivision of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-5446-667X
Fatih HaşlakDivision of Pediatric Rheumatology, Department of Pediatrics, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-6963-9668
Ayşenur Paç KısaarslanDivision of Pediatric Rheumatology, Department of Pediatrics, Erciyes University Medical Faculty, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-1800-9922
Yelda BilginerDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6232-0072
Sevcan Azime BakkaloğluDivision of Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0001-6530-9672
Selçuk YükselDivision of Pediatric Rheumatology, Department of Pediatrics, Çanakkale Onsekiz Mart University, Faculty of Medicine, Çanakkale, Turkey.ORCID http://orcid.org/0000-0001-9415-1640
Mukaddes KalyoncuDivision of Pediatric Rheumatology, Department of Pediatrics, Medical Faculty, Karadeniz Technical University, Trabzon, Turkey.ORCID http://orcid.org/0000-0001-5378-939X
Özgür KasapçopurDivision of Pediatric Rheumatology, Department of Pediatrics, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.ORCID http://orcid.org/0000-0002-1125-7720
Seza ÖzenDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0003-2883-7868
Banu Çelikel AcarDivision of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-1808-3655

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to describe the cutaneous manifestations of patients with autoinflammatory bone diseases and to evaluate the relationship between cutaneous manifestations, bone involvement, and systemic inflammation in Turkish children.

methodsThis retrospective multicenter study was conducted in nine pediatric rheumatology centers between the years 2013 and 2023 in patients with a diagnosis of autoinflammatory bone disease with cutaneous manifestations. Demographic data, laboratory findings, cutaneous manifestations, bone involvement, and treatments were recorded.

resultsTwo hundred and sixty-nine autoinflammatory bone disease patients were evaluated. Fifty-one patients with cutaneous manifestations (46 CRMO and five Majeed syndrome) were included in this study. The mean diagnostic delay was 16.1 ± 11.7 months in those with cutaneous manifestations and 25.3 ± 9.9 months in those with bone involvement (p = 0.02). The most common skin lesions were acne (n = 26), pustules (n = 23), and papules (n = 10). Patients with acne had more frequent male sex and higher ESR and CRP levels (p = 0.01, p = 0.03, and p = 0.04, respectively). Patients with pustules had a younger age at symptom onset and age at diagnosis and higher ESR and CRP levels (p = 0.04, p = 0.04, p = 0.04, p = 0.02, p = 0.03, respectively). In patients with CRMO, the mean time to remission was 2.1 ± 0.7 years for cutaneous manifestation and 2.9 ± 1.4 years for bone involvement (p = 0.04).

conclusionSkin lesions may appear before bone lesions in autoinflammatory bone diseases, serving as an important early warning sign for diagnosis. Lesions such as acne and pustules are more common in these conditions and may contribute to the severity of inflammation in autoinflammatory bone diseases. Key Points • Skin lesions, most commonly acne and pustules, are frequently observed in autoinflammatory bone diseases. • It would be appropriate to closely monitor skin involvement to manage the disease and inflammation.

Indexed as

Bone DiseasesHereditary Autoinflammatory DiseasesSkin DiseasesAcne VulgarisAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesTurkeyAcneAutoinflammatory bone disordersChildrenCutaneous manifestations

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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.