Evidence map›Paper›PMID 42582555›Full record

ArticleHealth science reports2026

Trimethoprim-Sulfamethoxazole in the Treatment of Idiopathic Granulomatous Mastitis: A Retrospective Cohort Study.

Soheila Sayad, Saba Ahmadi, Mahdi Ahmadinia, Azadeh Eshraghi, Hamidreza Aslani, Maryam Farasatinasab

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

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0citing papers in PubMed
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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

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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

6 authors.

Soheila SayadDepartment of Surgery, School of Medicine Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0009-0006-6213-7530
Saba AhmadiDepartment of Clinical Pharmacy and Pharmacoeconomics, School of Pharmacy Iran University of Medical Sciences Tehran Iran.
Mahdi AhmadiniaLung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD) Shahid Beheshti University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-8968-7173
Azadeh EshraghiDepartment of Clinical Pharmacy and Pharmacoeconomics, School of Pharmacy Iran University of Medical Sciences Tehran Iran.
Hamidreza AslaniDepartment of Clinical Pharmacy and Pharmacoeconomics, School of Pharmacy Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0001-7142-1089
Maryam FarasatinasabDepartment of Clinical Pharmacy and Pharmacoeconomics, School of Pharmacy Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0002-8634-0801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Idiopathic Granulomatous Mastitis (IGM) is a rare, chronic inflammatory breast condition with uncertain etiology and challenging management. Standard treatments often involve corticosteroids or surgery, both associated with significant relapse and adverse effects. Recent interest has emerged in using antibiotics such as Trimethoprim-Sulfamethoxazole (TMP-SMX) due to potential antimicrobial and anti-inflammatory benefits, though evidence remains limited. Methods: This retrospective cohort study evaluated the effectiveness and safety of TMP-SMX compared to conventional therapies in female patients diagnosed with histologically confirmed IGM. Patients were categorized into the TMP-SMX and control groups. Primary outcomes included treatment response and recurrence rates; secondary outcomes assessed changes in lesion size, clinical severity, and adverse events. Statistical analyzes included Chi-square, Fisher's exact test, and odds ratios (ORs) with 95% confidence intervals. Results: Complete clinical remission was achieved in 70.8% of TMP-SMX ( Conclusion: This study provides evidence that TMP-SMX is a safe and clinically effective alternative to corticosteroid-based regimens for managing idiopathic IGM. TMP-SMX demonstrated comparable efficacy, including favorable trends in lesion regression and disease severity improvement, with notably fewer systemic adverse events.

Indexed as

antibiotic therapycorticosteroidsidiopathic granulomatous mastitissteroid‐sparing strategytrimethoprim‐sulfamethoxazole

Identifiers

PMID42582555
PMCPMC13458032

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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.