{"id":"https://openalex.org/W7203819381","doi":"https://doi.org/10.1016/j.kint.2026.05.023","title":"The Case | When the diagnosis is more than skin deep","display_name":"The Case | When the diagnosis is more than skin deep","publication_year":2026,"publication_date":"2026-08-20","ids":{"openalex":"https://openalex.org/W7203819381","doi":"https://doi.org/10.1016/j.kint.2026.05.023","pmid":"https://pubmed.ncbi.nlm.nih.gov/42624551"},"language":"en","primary_location":{"id":"doi:10.1016/j.kint.2026.05.023","doi":"https://doi.org/10.1016/j.kint.2026.05.023","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.kint.2026.05.023","pdf_url":null,"source":{"id":"https://openalex.org/S97303050","display_name":"Kidney International","issn_l":"0085-2538","issn":["0085-2538","1523-1755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney International","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027438074","display_name":"Nicole K. Andeen","orcid":"https://orcid.org/0000-0002-4882-6640","observed_orcids":["https://orcid.org/0000-0002-4882-6640"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nicole K. Andeen","raw_affiliation_strings":["Department of Pathology and Laboratory Medicine, Oregon Health & Science University, Portland, Oregon, USA. Electronic address: andeen@ohsu.edu"],"raw_orcid":"https://orcid.org/0000-0002-4882-6640","affiliations":[{"raw_affiliation_string":"Department of Pathology and Laboratory Medicine, Oregon Health & Science University, Portland, Oregon, USA. Electronic address: andeen@ohsu.edu","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103231614","display_name":"Angela Jiang","orcid":"https://orcid.org/0000-0002-5966-9249","observed_orcids":["https://orcid.org/0000-0002-5966-9249"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angela Jiang","raw_affiliation_strings":["Department of Dermatology, Oregon Health & Science University, Portland, Oregon, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Oregon Health & Science University, Portland, Oregon, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015893706","display_name":"Elizabeth Anderson","orcid":"https://orcid.org/0000-0001-9925-6644","observed_orcids":["https://orcid.org/0000-0001-9925-6644"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Anderson","raw_affiliation_strings":["Division of Rheumatology, Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026804242","display_name":"Rebecca Wang Silbermann","orcid":"https://orcid.org/0000-0002-7571-1523","observed_orcids":["https://orcid.org/0000-0002-7571-1523"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Silbermann","raw_affiliation_strings":["Center for Hematologic Malignancies, Oregon Health & Science University, Portland, Oregon, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Hematologic Malignancies, Oregon Health & Science University, Portland, Oregon, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036736909","display_name":"Rupali S. Avasare","orcid":"https://orcid.org/0000-0001-8432-2186","observed_orcids":["https://orcid.org/0000-0001-8432-2186"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rupali S. Avasare","raw_affiliation_strings":["Division of Nephrology, Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA"],"raw_orcid":"https://orcid.org/0000-0001-8432-2186","affiliations":[{"raw_affiliation_string":"Division of Nephrology, Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5027438074"],"corresponding_institution_ids":["https://openalex.org/I165690674"],"apc_list":{"value":3500,"currency":"USD","value_usd":3500},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.60337174,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"110","issue":"3","first_page":"758","last_page":"761"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11029","display_name":"Renal Diseases and Glomerulopathies","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10649","display_name":"Multiple Myeloma Research and Treatments","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/granulomatosis-with-polyangiitis","display_name":"granulomatosis with polyangiitis","score":0.9909999966621399},{"id":"https://openalex.org/keywords/seronegative-rheumatoid-arthritis","display_name":"seronegative rheumatoid arthritis","score":0.9440000057220459},{"id":"https://openalex.org/keywords/leukocytoclastic-vasculitis","display_name":"leukocytoclastic vasculitis","score":0.9210000038146973},{"id":"https://openalex.org/keywords/anti-proteinase-3-antibodies","display_name":"anti-proteinase 3 antibodies","score":0.7549999952316284},{"id":"https://openalex.org/keywords/monoclonal-gammopathy","display_name":"monoclonal gammopathy","score":0.6940000057220459},{"id":"https://openalex.org/keywords/free-light-chain-ratio","display_name":"free light chain ratio","score":0.7059999704360962},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.5090000033378601},{"id":"https://openalex.org/keywords/cutaneous-vasculitis","display_name":"cutaneous vasculitis","score":0.5979999899864197},{"id":"https://openalex.org/keywords/rituximab","display_name":"rituximab","score":0.5569999814033508},{"id":"https://openalex.org/keywords/mycophenolic-acid","display_name":"mycophenolic acid","score":0.7229999899864197}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9538000226020813},{"id":"https://openalex.org/C2777575956","wikidata":"https://www.wikidata.org/wiki/Q187255","display_name":"Rheumatoid arthritis","level":2,"score":0.6381000280380249},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.5935999751091003},{"id":"https://openalex.org/C2780439664","wikidata":"https://www.wikidata.org/wiki/Q7535376","display_name":"Skin biopsy","level":3,"score":0.4788999855518341},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.4763000011444092},{"id":"https://openalex.org/C2781229154","wikidata":"https://www.wikidata.org/wiki/Q1161568","display_name":"Granulomatosis with polyangiitis","level":4,"score":0.37940001487731934},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.3538999855518341},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.35280001163482666},{"id":"https://openalex.org/C2777077863","wikidata":"https://www.wikidata.org/wiki/Q170990","display_name":"Arthritis","level":2,"score":0.3411000072956085},{"id":"https://openalex.org/C2910165503","wikidata":"https://www.wikidata.org/wiki/Q7535376","display_name":"Punch Biopsy","level":3,"score":0.3273000121116638},{"id":"https://openalex.org/C2779123688","wikidata":"https://www.wikidata.org/wiki/Q421094","display_name":"Hydroxychloroquine","level":5,"score":0.2782000005245209},{"id":"https://openalex.org/C2910735644","wikidata":"https://www.wikidata.org/wiki/Q1613670","display_name":"Leukocytoclastic vasculitis","level":4,"score":0.26980000734329224},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2778959117","wikidata":"https://www.wikidata.org/wiki/Q430892","display_name":"Deep vein","level":3,"score":0.2587999999523163},{"id":"https://openalex.org/C2777840918","wikidata":"https://www.wikidata.org/wiki/Q1753520","display_name":"Rheumatoid nodule","level":3,"score":0.2551000118255615},{"id":"https://openalex.org/C2779945361","wikidata":"https://www.wikidata.org/wiki/Q1349259","display_name":"Erdheim\u2013Chester disease","level":4,"score":0.2522999942302704}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.kint.2026.05.023","doi":"https://doi.org/10.1016/j.kint.2026.05.023","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.kint.2026.05.023","pdf_url":null,"source":{"id":"https://openalex.org/S97303050","display_name":"Kidney International","issn_l":"0085-2538","issn":["0085-2538","1523-1755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney International","raw_type":"journal-article"},{"id":"pmid:42624551","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42624551","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney international","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[{"id":"https://openalex.org/G9000859875","display_name":"Mechanisms of autoimmune dysregulation in lipoic acid users at risk for NELL1 membranous nephropathy","funder_award_id":"K23DK135855","funder_id":"https://openalex.org/F4320337357","funder_display_name":"National Institute of Diabetes and Digestive and Kidney Diseases"}],"funders":[{"id":"https://openalex.org/F4320337357","display_name":"National Institute of Diabetes and Digestive and Kidney Diseases","ror":"https://ror.org/00adh9b73"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W2884732785","https://openalex.org/W4220846351","https://openalex.org/W4399903324"],"related_works":["https://openalex.org/W2920627738","https://openalex.org/W4288066873","https://openalex.org/W4414938385","https://openalex.org/W4389221264","https://openalex.org/W4309317795","https://openalex.org/W3005264921","https://openalex.org/W7039616263","https://openalex.org/W3211715623","https://openalex.org/W7217404875","https://openalex.org/W1986026242"],"abstract_inverted_index":null,"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-08-21T00:00:00"}
