Evidence map›Paper›PMID 41821727›Full record

ArticleEJHaem2026

Paroxysmal Nocturnal Haemoglobinuria-Associated Acute Cutaneous Thrombosis and Haemolysis in the Setting of Parvovirus B19 and Varicella Zoster Virus Infection.

Louise J Potter, Roochi Trikha, Shreyans Gandhi, Joanne Large, Tanya N Basu, Jeanne Boissiere, Hannah Devine, Taku Sugai, Aushna Rasool, Austin Kulasekararaj

Abstract read
In one paragraph

Article in EJHaem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Louise J PotterDepartment of Haematology King's College Hospital NHS Foundation Trust London UK.
Roochi TrikhaDepartment of Haematology King's College Hospital NHS Foundation Trust London UK.
Shreyans GandhiDepartment of Haematology King's College Hospital NHS Foundation Trust London UK.
Joanne LargeDepartment of Haematology King's College Hospital NHS Foundation Trust London UK.
Tanya N BasuDepartment of Dermatology King's College Hospital NHS Foundation Trust London UK.
Jeanne BoissiereDepartment of Histopathology King's College Hospital NHS Foundation Trust London UK.
Hannah DevineDepartment of Haematology Hillingdon Hospital NHS Foundation Trust London UK.
Taku SugaiDepartment of Haematology Hillingdon Hospital NHS Foundation Trust London UK.
Aushna RasoolDepartment of Haematology East and North Hertfordshire NHS Trust Stevenage UK.
Austin KulasekararajDepartment of Haematology King's College Hospital NHS Foundation Trust London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 28-year-old male with paroxysmal nocturnal haemoglobinuria (PNH) presented with headache, nasal bridge discomfort and haemoglobinuria. He developed a macular-papular rash which rapidly progressed into purpura, necrosis and peri-orbital oedema. Investigations demonstrated severe haemolytic anaemia and acute parvovirus B19 infection. A skin biopsy confirmed extensive necrotising vasculitis with intravascular thrombi, affecting the dermal and subcutaneous vessels. Eculizumab, corticosteroid and intravenous immunoglobulin were given, and within 24 h, symptoms markedly improved. The patient later developed breakthrough haemolysis in the setting of varicella zoster virus infection, which responded well to additional anti-complement therapy. This case demonstrates that viral infections can precipitate acute thrombosis and severe haemolysis in PNH patients and that a combined treatment approach confers good recovery.

Indexed as

paroxysmal nocturnal haemoglobinuriaparvovirusthrombosis

Identifiers

PMID41821727
PMCPMC12978148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.