Evidence map›Paper›PMID 41936554›Full record

ArticleJournal of cutaneous pathology2026

Kratom-Induced Hyperpigmentation: An Emerging Clinicopathologic Pattern.

Matthew H Friedland, Steve Lu, Margaret S Johnston, Dana Correale, Christine J Ko

Abstract readCase Reports
In one paragraph

Article in Journal of cutaneous pathology, 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

5 authors.

Matthew H FriedlandDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0001-9343-0314
Steve LuDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Margaret S JohnstonFour Seasons Dermatology, Colchester, Vermont, USA.
Dana CorrealeDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Christine J KoDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0003-2270-2524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kratom (Mitragyna speciosa) is a commonly used over-the-counter supplement with opioid-like and dopaminergic activity. Cutaneous side effects have been incompletely characterized; only limited case reports describe its associated hyperpigmentation. We describe two cases of kratom-induced photodistributed brown-gray patches with biopsies that show circular, orange-brown granules in the dermis that stain positive with Fontana-Masson and negative for iron. In conjunction with existing literature, our cases suggest a possible distinct clinicopathologic pattern for which kratom use can be suspected.

Indexed as

HyperpigmentationMitragynaFemaleHumansMaleMiddle Agedhyperpigmentationkratomphotodistribution

Identifiers

PMID41936554
PMCPMC13532875

What OpenQuestion holds

Textmetadata
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.