Evidence map›Paper›PMID 35803868›Full record

ReviewBest practice & research. Clinical rheumatology2022

Calcinosis in dermatomyositis: Origins and possible therapeutic avenues.

Srijana Davuluri, Bhargavi Duvvuri, Christian Lood, Sara Faghihi-Kashani, Lorinda Chung

Open access · greenAbstract readReview
In one paragraph

Review in Best practice & research. Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Calcinosis in dermatomyositis.Current opinion in rheumatology · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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 at 3 institutions in 1 country.

Srijana DavuluriStanford School of Medicine, Division of Immunology &Rheumatology, 1000 Welch Road, Suite 204, Palo Alto, 94304, California, USA. Electronic address: sridav29@stanford.edu.
Bhargavi DuvvuriUniversity of Washington, Department of Medicine, Division of Rheumatology, 750 Republican Street, Seattle, WA, 98109, USA. Electronic address: duvvurib@medicine.washington.edu.
Christian LoodUniversity of Washington, Division of Rheumatology, 750 Republican Street, Room E-545, Seattle, WA, 98109, USA. Electronic address: Loodc@uw.edu.
Sara Faghihi-KashaniStanford School of Medicine, Division of Immunology &Rheumatology, 1000 Welch Road, Suite 204, Palo Alto, 94304, California, USA. Electronic address: kashanis@stanford.edu.
Lorinda ChungStanford School of Medicine & Palo Alto VA Health Care System, Division of Immunology &Rheumatology, 1000 Welch Road, Suite 203, Palo Alto, 94304, California, USA. Electronic address: shauwei@stanford.edu.
Stanford Medicine · USUniversity of Washington · USVA Palo Alto Health Care System · US

Funding

Training Program in Adult and Pediatric RheumatologyT32AR050942 · NIAMS · STANFORD UNIVERSITY · PI LEWIS, DAVID BRAM, ROBINSON, WILLIAM H · 2005 to 2025
$6.6M
Extracellular mitochondria in Inclusion Body MyositisR21AR079542 · NIAMS · UNIVERSITY OF WASHINGTON · PI LOOD, JAN CHRISTIAN · 2021 to 2021
$463k
Mitochondrial calcification in juvenile dermatomyositisR21AR077565 · NIAMS · UNIVERSITY OF WASHINGTON · PI LOOD, JAN CHRISTIAN · 2020 to 2021
$432k
NIAMS NIH HHS R21 AR077565NIAMS NIH HHS R21 AR079542NIAMS NIH HHS T32 AR050942
6 · The paper itself

Abstract

Calcinosis, insoluble calcium compounds deposited in skin and other tissues, is a crippling sequela of dermatomyositis. Prolonged disease associated with ongoing inflammation, ischemia, repetitive trauma, and certain autoantibodies are associated with calcinosis. Herein, we describe potential pathogenic mechanisms including the role of mitochondrial calcification. There are no widely effective treatments for calcinosis. We review available pharmacologic therapies for calcinosis including those targeting calcium and phosphorus metabolism; immunosuppressive/anti-inflammatory therapies; and vasodilators. Mounting evidence supports the use of various formulations of sodium thiosulfate in the treatment of calcinosis. Although the early institution of aggressive immunosuppression may prevent calcinosis in juvenile dermatomyositis, only limited data support improvement once it has developed. Minocycline can be useful particularly for lesions associated with surrounding inflammation. Powerful vasodilators, such as prostacyclin analogs, may have promise in the treatment of calcinosis, but further studies are necessary. Surgical removal of lesions when amenable is our treatment of choice.

Indexed as

CalcinosisDermatomyositisAnti-Inflammatory AgentsAutoantibodiesCalciumHumansInflammationMinocyclinePhosphorusProstaglandins IVasodilator AgentsAnti-Inflammatory AgentsAutoantibodiesCalciumMinocyclinePhosphorusProstaglandins IVasodilator AgentsAdult dermatomyositisCalcinosisCompositionJuvenile dermatomyositisMechanism(s)Mitochondrial calcificationSurgical excisionTreatment

Identifiers

PMID35803868
PMCPMC10269219
OpenAlexW4284701456

What Socratic holds

Textmetadata
LicenceTDM
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.