Evidence map›Paper›PMID 41649590›Full record

ReviewClinical and experimental medicine2026

Deciphering whipple's disease complexity.

Jakub Korybski, Jakub Zelig, Shreya Narayanan, Wojciech Blonski, Kalina Milena Kazimierski, Jan Hendrik Dierkes, Hanna Lidia Popiela, Augustin Patrick Gabriel, Katarzyna Neubauer

Abstract readReview
In one paragraph

Review in Clinical and experimental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Whipple Disease with ConcurrentDiagnostics (Basel, Switzerland) · 2026
    Article
  2. 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

9 authors.

Jakub KorybskiJan Mikulicz-Radecki University Hospital, Wroclaw, Poland. jakub.korybski@gmail.com.
Jakub ZeligDepartment of Gastroenterology, Hepatology and Internal Medicine, Jan Mikulicz-Radecki University Hospital, Wroclaw, Poland.
Shreya NarayananUniversity of South Florida, Tampa, Florida, USA.
Wojciech BlonskiDivision of Gastroenterology, James A. Haley Veterans Affairs Hospital, Tampa, Florida, USA.
Kalina Milena KazimierskiUniversity Hospital Limerick HSE Midwest, Limerick, Ireland.
Jan Hendrik DierkesUniversity Hospital Limerick HSE Midwest, Limerick, Ireland.
Hanna Lidia PopielaUniversity Hospital Limerick HSE Midwest, Limerick, Ireland.
Augustin Patrick GabrielThe Rotherham NHS Foundation Trust, Rotherham, UK.
Katarzyna NeubauerDepartment of Gastroenterology, Hepatology and Internal Medicine, Wroclaw Medical University, Wrocław, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whipple's disease is a sporadic infectious condition, with an incidence rate of approximately 1 per million individuals. The causative agent is the gram-positive bacterium Tropheryma whipplei. The disease manifests with a wide range of clinical symptoms, including non-specific presentations such as diarrhea, arthralgia, and fever, as well as the more pathognomonic lipodystrophy. This diversity in presentation poses a significant diagnostic challenge even for experienced clinicians. Our review aims to provide an updated overview encompassing the latest insights into Whipple's disease, focusing on epidemiology, pathophysiology, genetic predisposition, clinical manifestations, diagnosis, immune reconstitution inflammatory syndrome, and treatment. Herein, we have additionally explored many of the confounding factors in the diagnosis and management of Whipple's disease, including the variable presentations among patients colonized by Trophyrema whipplei as well as the limitations of current treatment options, and underscore the need for further research and guidelines related to this complex disease process.

Indexed as

TropherymaWhipple DiseaseAnti-Bacterial AgentsGenetic Predisposition to DiseaseHumansImmune Reconstitution Inflammatory SyndromeAnti-Bacterial AgentsArthralgiaCulture negative endocarditisGastroenteritisTropheryma whippleiWhipple’s disease

Identifiers

PMID41649590
PMCPMC12886343

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.