Evidence map›Paper›PMID 31838215›Full record

ArticleClinical immunology (Orlando, Fla.)2020

The immunologic features of patients with early-onset and polyautoimmunity.

Kacie J Hoyt, Talal A Chatila, Luigi D Notarangelo, Melissa M Hazen, Erin Janssen, Lauren A Henderson

Open access · greenAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Immunological Evaluation of Pediatric Patients with Polyautoimmunity.Endocrine, metabolic & immune disorders drug targets · 2024
    Article
  8. Article
  9. Article
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  12. 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

6 authors at 1 institution in 1 country.

Kacie J HoytDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: Kacie.Hoyt@childrens.harvard.edu.
Talal A ChatilaDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: Talal.Chatila@childrens.harvard.edu.
Luigi D NotarangeloDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: luigi.notarangelo2@nih.gov.
Melissa M HazenDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: Melissa.Hazen@childrens.harvard.edu.
Erin JanssenDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: Erin.Janssen@childrens.harvard.edu.
Lauren A HendersonDivision of Immunology, Boston Children's Hospital, 1 Blackfan Circle, 10th Floor Karp Family Research Building, Boston, MA 02115, United States. Electronic address: Lauren.Henderson@childrens.harvard.edu.
Boston Children's Hospital · US

Funding

Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
Mechanisms of Disease Pathogenesis in Regulatory T cell DeficiencyR01AI085090 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHATILA, TALAL AMINE, WILLIAMS, CALVIN B · 2010 to 2020
$3.9M
The role of DOCK8 in autoimmunityK08AI114968 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI JANSSEN, ERIN MARGARET · 2015 to 2019
$942k
The Reprogramming of Regulatory T cells to a Th17 Phenotype in Systemic Juvenile Idiopathic ArthritisK08AR073339 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI HENDERSON, LAUREN A · 2018 to 2022
$840k
NIAID NIH HHS K08 AI114968NIAID NIH HHS R01 AI085090NIAMS NIH HHS K08 AR073339NIAMS NIH HHS L40 AR065238NIAMS NIH HHS P30 AR070253
6 · The paper itself

Abstract

Inflammatory conditions are increasingly described in patients with primary immunodeficiencies; however, little is known about the prevalence of immune defects in patients who present first with autoimmunity. We describe the immunologic features of children with early-onset/polyautoimmunity followed in the Multiple Autoimmunity and Immunodeficiency (MAID) Clinic, where patients are co-managed by rheumatologists and immunologists. The most common autoimmune manifestations were cytopenias, lymphoproliferation, and colitis. Recurrent infections were noted in 65% of patients. Abnormalities in lymphocyte subsets and immunoglobulins were common. A pathogenic variant was identified in 19% of patients, and 2 novel inherited disorders were discovered. Additionally, 42% of patients had treatment changes implemented in the MAID clinic. By evaluating this unique cohort of patients, we report on the immunologic underpinning of early-onset/polyautoimmunity. The high rate of genetic diagnoses and treatment interventions in this population highlights the value of collaboration between rheumatologists and immunologists in the care of these complex patients.

Indexed as

AdolescentAutoimmunityChildChild, PreschoolFemaleHumansHypersensitivityImmunologic Deficiency SyndromesInfectionsMaleAutoimmunityImmune dysregulationPrimary immunodeficiency

Identifiers

PMID31838215
PMCPMC7050734
OpenAlexW2995221660

What OpenQuestion holds

Textmetadata
LicenceTDM
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.