Evidence map›Paper›PMID 22986767›Full record

ReviewJournal of clinical immunology2013

Granulomatous disease in CVID: retrospective analysis of clinical characteristics and treatment efficacy in a cohort of 59 patients.

Jean-Nicolas Boursiquot, Laurence Gérard, Marion Malphettes, Claire Fieschi, Lionel Galicier, David Boutboul, Raphael Borie, Jean-François Viallard, Pauline Soulas-Sprauel, Alice Berezne and 7 more

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 9% 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

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Crohn's-like Enteritis in X-Linked Agammaglobulinemia: A Case Series and Systematic Review.The journal of allergy and clinical immunology. In practice · 2021
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8 more citing papers are in PubMed but not listed here.

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

17 authors at 9 institutions in 2 countries.

Jean-Nicolas BoursiquotDepartment of Clinical Immunology and Allergy, Centre Hospitalier Universitaire de Québec, Laval University, Quebec City, Quebec, Canada. jean-nicolas.boursiquot@fmed.ulaval.ca
Laurence Gérard
Marion Malphettes
Claire Fieschi
Lionel Galicier
David Boutboul
Raphael Borie
Jean-François Viallard
Pauline Soulas-Sprauel
Alice Berezne
Arnaud Jaccard
Eric Hachulla
Julien Haroche
Nicolas Schleinitz
Laurent Têtu
Eric Oksenhendler
DEFI study group
Assistance Publique – Hôpitaux de Paris · FRSorbonne Université · FRInserm · FRCentre hospitalier universitaire de Québec · CAHôpital Claude Huriez · FRHôpital Cochin · FRHôpital de la Conception · FRHôpital Saint-Louis · FRUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGranulomatous disease (GD) will develop in a subset of patients with common variable immunodeficiency (CVID). Little is known about the efficacy of therapeutic agents used for treating this disorder.

objectiveTo evaluate the efficacy of immunosuppressive drugs with the help of a set of clinical, biological and radiological criteria.

methodClinical and laboratory features of CVID patients were collected from the French DEFI cohort, a prospective study on adults with hypogammaglobulinemia. The medical charts of 55 patients (93 %) of the GD cohort were reviewed.

resultsAmong 436 subjects with CVID, 59 patients (13.5 %) were diagnosed with GD. Of the 55 patients in whom medical charts were available, 32 patients received treatment for the granulomatous disease. Corticosteroids were the most frequently used drug. Complete response to treatment was infrequent. It was achieved with corticosteroids, cyclophosphamide, hydroxychloroquine, rituximab and methotrexate. Azathioprine, cyclosporine, mycophenolate mofetil, sirolimus, infliximab and thalidomide led to partial or absence of response. Complete and partial responses were observed in lymph nodes, lungs, liver, skin, bone marrow and central nervous system. Absent of response for gastrointestinal tract granulomas was noted in all cases of treatment attempt.

conclusionCVID patients with GD exhibit a particular biological phenotype. Treatment should be considered in any symptomatic patient or if there is evidence of organ dysfunction. Corticosteroids are the drug of choice in most instances but response to treatment is often unsatisfactory.

Indexed as

AdultAgammaglobulinemiaChildChild, PreschoolCohort StudiesCommon Variable ImmunodeficiencyFemaleGranulomatous Disease, ChronicHumansImmunophenotypingInfantInfant, NewbornMaleOrgan SpecificityProspective StudiesRetrospective Studies

Identifiers

PMID22986767
OpenAlexW2049696934

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.