Evidence map›Paper›PMID 41737275›Full record

ArticleCase reports in medicine2026

Multifocal Osteonecrosis in a Patient With Systemic Lupus Erythematosus and Antiphospholipid Syndrome Associated With Pyoderma Gangrenosum and Other Complications: A Case Report.

Ehsan Adib, Shokofeh Banaei, Afsaneh Enteshari-Moghaddam

Abstract read
In one paragraph

Article in Case reports in medicine, 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. 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

3 authors.

Ehsan AdibStudents Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran, arums.ac.ir.ORCID https://orcid.org/0009-0006-7981-7516
Shokofeh BanaeiDepartment of Physiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran, arums.ac.ir.ORCID https://orcid.org/0000-0002-8742-3895
Afsaneh Enteshari-MoghaddamDepartment of Internal Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran, arums.ac.ir.ORCID https://orcid.org/0000-0001-6967-6429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic lupus erythematosus (SLE) is a quintessential illustration of an autoimmune disease. It results from complex interactions that include impaired apoptotic clearance, increased activity of both the innate and adaptive immune systems, complement activation, the development of immune complexes, and ensuing tissue inflammation, which collectively contribute to a sustained autoimmune response. We present a case relating to a 37-year-old female patient (from Ardabil, Iran) who received a diagnosis of SLE and antiphospholipid syndrome (APS), in accordance with established diagnostic criteria. She is currently admitted to the hospital due to a recurring pyoderma gangrenosum ulcer, accompanied by pain and swelling in her left leg. The patient tested positive for ANA, lupus anticoagulant, anti-beta2-glycoprotein I (anti-beta2GPI), and anti-Ro antibodies. These results, along with her clinical manifestations such as spontaneous abortion, stroke, malar rash, photosensitivity, and pyoderma gangrenosum ulcers, confirm a diagnosis of SLE associated with APS according to the relevant criteria. After appropriate medical treatment, she was identified as experiencing a lupus flare and multifocal osteonecrosis in the knee, hip, and shoulder.

Indexed as

antiphospholipid syndromeautoimmunitymultifocal osteonecrosispyoderma gangrenosumsystemic lupus erythematosus

Identifiers

PMID41737275
PMCPMC12927911

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