Evidence map›Paper›PMID 32479986›Full record

ArticleClinical immunology (Orlando, Fla.)2020

Type 3 hypersensitivity in COVID-19 vasculitis.

Luca Roncati, Giulia Ligabue, Luca Fabbiani, Claudia Malagoli, Graziana Gallo, Beatrice Lusenti, Vincenzo Nasillo, Antonio Manenti, Antonio Maiorana

Open access · greenAbstract readCase ReportsLetter
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 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
11.7field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Hearing Loss, Tinnitus, and Dizziness in COVID-19: A Systematic Review and Meta-Analysis.The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques · 2022
    Pooled it
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  6. Trial
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  12. Coronary Implications of COVID-19.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Review
  13. IgA vasculitis after COVID-19: a case-based review.Rheumatology international · 2024
    Review
  14. Article
  15. Bronchial Asthma and COVID-19: Etiology, Pathological Triggers, and Therapeutic Considerations.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Review
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Luca RoncatiInstitute of Pathology, University of Modena and Reggio Emilia, Modena, Italy; Hemolymphopathology Team, University Hospital of Modena, Modena, Italy; Immunohistochemistry Lab, University Hospital of Modena, Modena, Italy. Electronic address: roncati.luca@aou.mo.it.
Giulia LigabueNephrology Lab, University of Modena and Reggio Emilia, Modena, Italy.
Luca FabbianiInstitute of Pathology, University of Modena and Reggio Emilia, Modena, Italy; Immunohistochemistry Lab, University Hospital of Modena, Modena, Italy.
Claudia MalagoliInstitute of Pathology, University of Modena and Reggio Emilia, Modena, Italy; Immunohistochemistry Lab, University Hospital of Modena, Modena, Italy.
Graziana GalloInstitute of Pathology, University of Modena and Reggio Emilia, Modena, Italy.
Beatrice LusentiHemolymphopathology Team, University Hospital of Modena, Modena, Italy.
Vincenzo NasilloHemolymphopathology Team, University Hospital of Modena, Modena, Italy.
Antonio ManentiDepartment of Surgery, University of Modena and Reggio Emilia, Modena, Italy.
Antonio MaioranaInstitute of Pathology, University of Modena and Reggio Emilia, Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus Disease 2019 (COVID-19) is an ongoing public health emergency and new knowledge about its immunopathogenic mechanisms is deemed necessary in the attempt to reduce the death burden, globally. For the first time in worldwide literature, we provide scientific evidence that in COVID-19 vasculitis a life-threatening escalation from type 2 T-helper immune response (humoral immunity) to type 3 hypersensitivity (immune complex disease) takes place. The subsequent deposition of immune complexes inside the vascular walls is supposed to induce a severe inflammatory state and a cytokine release syndrome, whose interleukin-6 is the key myokine, from the smooth muscle cells of blood vessels.

Indexed as

AgedAntibodies, ViralAntigen-Antibody ComplexBetacoronavirusBlood VesselsComplement C3Coronavirus InfectionsCOVID-19Cytokine Release SyndromeDisease ProgressionEndothelial CellsHumansImmune Complex DiseasesImmunity, HumoralImmunoglobulin GImmunoglobulin MAntibodies, ViralAntigen-Antibody ComplexComplement C3IL6 protein, humanImmunoglobulin GImmunoglobulin MInterleukin-6Coronavirus disease 2019 (COVID-19)Immune complex diseaseInterleukin-6 (IL-6)Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)Type III hypersensitivityVasculitis

Identifiers

PMID32479986
PMCPMC7256503
OpenAlexW3030918908

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.