Evidence map›Paper›PMID 26069770›Full record

ArticleClinical kidney journal2012

Azathioprine as successful maintenance therapy in IgG4-related tubulointerstitial nephritis.

Agnieszka A Pozdzik, Isabelle Brochériou, Pieter Demetter, Celso Matos, Myriam Delhaye, Jacques Devière, Joëlle L Nortier

Open access · hybridAbstract read
In one paragraph

Article in Clinical kidney journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. IgGBMJ case reports · 2021
    Article
  4. 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

7 authors at 2 institutions in 2 countries.

Agnieszka A PozdzikNephrology Department, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium ; Experimental Nephrology Unit, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Isabelle BrochériouDepartment of Pathology, Tenon Hospital, Paris, France.
Pieter DemetterDepartment of Pathology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Celso MatosDepartment of Radiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Myriam DelhayeDepartment of Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Jacques DevièreDepartment of Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Joëlle L NortierNephrology Department, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium ; Experimental Nephrology Unit, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Université Libre de Bruxelles · BESorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 65-year-old man presented with a progressive increase in plasma creatinine (PCr). Two years before, diffusion-weighted magnetic resonance imaging had revealed a relapse of immunoglobulin G4 (IgG4)-related autoimmune pancreatitis (AIP) associated with sclerosing cholangitis. Bilateral hypointense renal cortical nodules were also described. Kidney biopsy showed patchy disappearance of tubules, sparse interstitial fibrosis and IgG4+ plasma cells (>30 per high power field) leading to the diagnosis of IgG4-related tubulointerstitial nephritis (TIN). Despite methylprednisolone, PCr and serum IgG4 levels remained elevated. Starting azathioprine (AZA) normalized IgG4 levels, which elicited corticosteroid withdrawal after 17 months. One year later, renal function remains stable. Our clinical observation underlines the importance of biological and radiological long-term follow-up of patients with previous AIP in order to early detect IgG4-related renal involvement. Corticosteroids are the first choice, but in the case of adverse effects or partial remission, AZA could be a useful and safe alternative therapy.

Indexed as

azathioprineIgG4-related tubulointerstitial nephritisplasmocyte

Identifiers

PMID26069770
PMCPMC4400520
OpenAlexW2123606586

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.