Evidence map›Paper›PMID 27592233›Full record

ArticleImmunologic research2017

Involvement of chronic epipharyngitis in autoimmune (auto-inflammatory) syndrome induced by adjuvants (ASIA).

Osamu Hotta, Ayaki Tanaka, Akira Torigoe, Kazuaki Imai, Norio Ieiri, Japanese Focal Inflammation Research Group

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Article in Immunologic research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Osamu HottaDivision of Internal Medicine, Hotta Osamu Clinic, 2-39 Rokuchounome-minamimachi, Wakabayashi-ku, Sendai, Miyagi, 984-0013, Japan. hottao@remus.dti.ne.jp.
Ayaki TanakaTanaka ENT Clinic, Osaka, Japan.
Akira TorigoeDivision of Internal Medicine, Hotta Osamu Clinic, 2-39 Rokuchounome-minamimachi, Wakabayashi-ku, Sendai, Miyagi, 984-0013, Japan.
Kazuaki ImaiMirai Clinic, Fukuoka, Japan.
Norio IeiriDivision of Internal Medicine, Hotta Osamu Clinic, 2-39 Rokuchounome-minamimachi, Wakabayashi-ku, Sendai, Miyagi, 984-0013, Japan.
Japanese Focal Inflammation Research Group
Tohoku Medical and Pharmaceutical University Wakabayashi Hospital · JPMirai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The epipharynx is an immunologically active site even under normal conditions, and enhanced immunologic activation is prone to occur in response to an upper respiratory infection, air pollution, and possibly to vaccine adjuvants. Due to the potential link between the central nervous system and immune function, a relationship between epipharyngitis and autonomic nervous disturbance as well as autoimmune disease has been suggested. Various functional somatic symptoms have been described after human papillomavirus (HPV) vaccination, although a causal relationship has not been established. We examined the epipharynx in young women showing functional somatic symptoms following HPV vaccination. Surprisingly, despite having minimal symptoms involving the pharynx, all patients were found to have severe epipharyngitis. In addition, significant improvement in symptoms was seen in most patients who underwent epipharyngeal treatment. Thus, we speculate that the chronic epipharyngitis potentially caused by the vaccine adjuvant may be involved in the pathogenesis of functional somatic syndrome (FSS) post-HPV vaccination. Further, we suggest that epipharyngeal treatment may be effective for various types of FSS regardless of the initial cause, as well as for some autoimmune diseases, and that this may be an important direction in future research.

Indexed as

Adjuvants, ImmunologicAdjuvants, PharmaceuticAdolescentAdultAutoimmune DiseasesFemaleHumansPapillomavirus VaccinesPharyngeal DiseasesPharynxSyndromeVaccinationYoung AdultAdjuvants, ImmunologicAdjuvants, PharmaceuticPapillomavirus VaccinesAdjuvantChronic epipharyngitisFunctional somatic syndromeHuman papillomavirus vaccine

Identifiers

PMID27592233
OpenAlexW2508888697

What OpenQuestion holds

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Registered trials

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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.