Evidence map›Paper›PMID 33407317›Full record

ArticleBMC pulmonary medicine2021

Successful treatment of severe interstitial pneumonia by removal of circulating autoantibodies: a case series.

Philipp Eller, Holger Flick, Gernot Schilcher, Florentine Moazedi-Fürst, Kathrin Eller, Emina Talakic, Josef Hermann, Yannick Allanore, Horst Olschewski

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. Veno-venous ECMO for rapidly progressing interstitial lung disease: A multidisciplinary approach.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  3. Article
  4. 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

9 authors at 2 institutions in 2 countries.

Philipp EllerIntensive Care Unit, Department of Internal Medicine, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria. philipp.eller@medunigraz.at.ORCID http://orcid.org/0000-0001-5537-3646
Holger FlickDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Gernot SchilcherIntensive Care Unit, Department of Internal Medicine, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Florentine Moazedi-FürstDivision of Rheumatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Kathrin EllerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Emina TalakicDepartment of Radiology, Medical University of Graz, Graz, Austria.
Josef HermannDivision of Rheumatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Yannick AllanoreUniversité Rheumatology A Department, Cochin Hospital, Paris Descartes University, Paris, France.
Horst OlschewskiDivision of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATDélégation Paris 5 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is only limited clinical data on the benefit of intense immunosuppression in patients with severe interstitial pneumonia associated with autoimmune features or new-onset connective tissue disease. CASE PRESENTATION: We here report a series of three consecutive patients suffering from severe interstitial lung disease necessitating endotracheal intubation and mechanical ventilation. The first two patients fulfilled many diagnostic criteria for new-onset antisynthetase syndrome, the third patient for systemic lupus erythematosus. We decided to implement aggressive immunosuppressive strategies in these critically-ill patients including therapeutic plasma exchange, immunoadsorption, cyclophosphamide and rituximab. All three patients improved from respiratory failure, were successfully weaned from the respirator, and eventually dismissed from hospital with ongoing immunosuppressive therapy.

conclusionPatients suffering from severe connective tissue disease-associated interstitial lung disease and respiratory failure may benefit from an aggressive immunosuppressive regimen and extracorporeal blood purification with rapid reduction of circulating autoantibodies. The impressive clinical responses in this small case series warrant a controlled clinical trial.

Indexed as

AutoantibodiesCyclophosphamideHumansImmunosuppressive AgentsLung Diseases, InterstitialLupus Erythematosus, SystemicMaleMiddle AgedMyositisRituximabTreatment OutcomeAutoantibodiesCyclophosphamideImmunosuppressive AgentsRituximabAutoimmunityImmunosuppressionInterstitial lung diseaseRadiographyVasculitis

Identifiers

PMID33407317
PMCPMC7788864
OpenAlexW3118829495

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.