Evidence map›Paper›PMID 32638234›Full record

ReviewHormones (Athens, Greece)2021

Graves' hyperthyroidism-related pancytopenia: a case report with literature review.

Lorenzo Scappaticcio, Giuseppe Bellastella, Maria Ida Maiorino, Miriam Longo, Claudia Catalano, Katherine Esposito, Giuseppe Paolisso, Maria Rosaria Rizzo

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Hormones (Athens, Greece), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Sepsis-induced Pancytopenia in an Adolescent Girl with Thyroid Storm: A Case ReportJournal of clinical research in pediatric endocrinology · 2024
    Article
  6. Hyperthyroidism crisis and complex pancytopenia: A case report.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Adverse reactions of methimazole in children with hyperthyroidism].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    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

8 authors at 1 institution in 1 country.

Lorenzo ScappaticcioDivision of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Piazza L. Miraglia 2, 80138, Naples, Italy.ORCID http://orcid.org/0000-0003-2972-9551
Giuseppe BellastellaDivision of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Piazza L. Miraglia 2, 80138, Naples, Italy. Giuseppe.bellastella@unicampania.it.
Maria Ida MaiorinoDivision of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Piazza L. Miraglia 2, 80138, Naples, Italy.
Miriam LongoDivision of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Piazza L. Miraglia 2, 80138, Naples, Italy.
Claudia CatalanoDivision of Geriatrics and Internal Medicine, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Katherine EspositoDivision of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Piazza L. Miraglia 2, 80138, Naples, Italy.
Giuseppe PaolissoDivision of Geriatrics and Internal Medicine, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
Maria Rosaria RizzoDivision of Geriatrics and Internal Medicine, Department of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", Naples, Italy.
University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOccurrence of pancytopenia in patients with untreated hyperthyroidism is extremely rare. To the best of our knowledge, only 30 cases have been reported in the English literature. Accurate diagnosis and appropriate tailored therapy are challenging due to the variegated causes of pancytopenia and the potential hematological toxicity of antithyroid drugs (ATDs). CASE REPORT: We present a 51-year-old Caucasian man with newly diagnosed Graves' disease showing pancytopenia and liver dysfunction. Although in this context the use of ATDs is still under debate, low-dose methimazole therapy was able to induce resolution of both pancytopenia and liver dysfunction, along with euthyroidism restoration.

conclusionSearching in the English literature for previous studies, we identified only 30 cases worldwide to form our database. A demographic as well as clinical, laboratory, and histopathological analysis was performed. In most cases, the recovery of biochemical euthyroidism through the use of ATDs induced the resolution of pancytopenia (at laboratory and histological levels). Our review provides clinical, laboratory, and histopathological features of Graves's hyperthyroidism-related pancytopenia with a view to improving the knowledge of this rare hematological complication and assisting in the decision-making process regarding therapeutic options.

Indexed as

Antithyroid AgentsGraves DiseaseHumansMaleMethimazoleMiddle AgedPancytopeniaAntithyroid AgentsMethimazoleGraves’ diseasePancytopeniaReview

Identifiers

PMID32638234
OpenAlexW3040948356

What Socratic 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 Socratic graph.