Evidence map›Paper›PMID 27896807›Full record

ArticleClinical and experimental immunology2017

FDG PET-CT imaging of therapeutic response in granulomatous lymphocytic interstitial lung disease (GLILD) in common variable immunodeficiency (CVID).

S Jolles, E Carne, M Brouns, T El-Shanawany, P Williams, C Marshall, P Fielding

Open access · bronzeAbstract readCase ReportsEvaluation Study
In one paragraph

Article in Clinical and experimental immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Review
  8. Comorbidities of sarcoidosis.Annals of medicine · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Chronic Lung Disease in Primary Antibody Deficiency: Diagnosis and Management.Immunology and allergy clinics of North America · 2020
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Observational
  18. Review
  19. The critical role of histology in distinguishing sarcoidosis from common variable immunodeficiency disorder (CVID) in a patient with hypogammaglobulinemia.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019
    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

7 authors at 2 institutions in 1 country.

S JollesDepartment of Immunology, Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK.
E CarneDepartment of Immunology, Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK.
M BrounsDepartment of Respiratory Medicine, Neville Hall Hospital, Abergavenny, UK.
T El-ShanawanyDepartment of Immunology, Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK.
P WilliamsDepartment of Immunology, Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK.
C MarshallDepartment of Radiology, PETIC, University Hospital of Wales, Cardiff, UK.
P FieldingDepartment of Radiology, PETIC, University Hospital of Wales, Cardiff, UK.
University Hospital of Wales · GBNevill Hall Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Common variable immunodeficiency (CVID) is the most common severe adult primary immunodeficiency and is characterized by a failure to produce antibodies leading to recurrent predominantly sinopulmonary infections. Improvements in the prevention and treatment of infection with immunoglobulin replacement and antibiotics have resulted in malignancy, autoimmune, inflammatory and lymphoproliferative disorders emerging as major clinical challenges in the management of patients who have CVID. In a proportion of CVID patients, inflammation manifests as granulomas that frequently involve the lungs, lymph nodes, spleen and liver and may affect almost any organ. Granulomatous lymphocytic interstitial lung disease (GLILD) is associated with a worse outcome. Its underlying pathogenic mechanisms are poorly understood and there is limited evidence to inform how best to monitor, treat or select patients to treat. We describe the use of combined 2-[(18)F]-fluoro-2-deoxy-d-glucose positron emission tomography and computed tomography (FDG PET-CT) scanning for the assessment and monitoring of response to treatment in a patient with GLILD. This enabled a synergistic combination of functional and anatomical imaging in GLILD and demonstrated a widespread and high level of metabolic activity in the lungs and lymph nodes. Following treatment with rituximab and mycophenolate there was almost complete resolution of the previously identified high metabolic activity alongside significant normalization in lymph node size and lung architecture. The results support the view that GLILD represents one facet of a multi-systemic metabolically highly active lymphoproliferative disorder and suggests potential utility of this imaging modality in this subset of patients with CVID.

Indexed as

AdultCommon Variable ImmunodeficiencyFemaleFluorodeoxyglucose F18Granuloma, Respiratory TractHumansLungLung Diseases, InterstitialLymphocytesMiddle AgedMycophenolic AcidPositron-Emission TomographyRituximabTomography, X-Ray ComputedTreatment OutcomeFluorodeoxyglucose F18Mycophenolic AcidRituximabcommon variable immunodeficiencyfluorodeoxyglucose positron emission tomographygranulomatous lymphocytic interstitial lung diseaserituximab

Identifiers

PMID27896807
PMCPMC5167039
OpenAlexW2558969338

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.