Evidence map›Paper›PMID 34393170›Full record

ArticleInternal medicine (Tokyo, Japan)2022

Sjögren's Syndrome with Pleural Effusion: Difficult to Distinguish from Tuberculous Pleurisy Because of a High Adenosine Deaminase Level.

Masafumi Shimoda, Yoshiaki Tanaka, Kozo Morimoto, Kiyomi Shimoda, Tamiko Takemura, Teruaki Oka, Takashi Yoshiyama, Kozo Yoshimori, Ken Ohta

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 37% 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, 6 citations in OpenAlex.

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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 1 country.

Masafumi ShimodaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Yoshiaki TanakaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Kozo MorimotoRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Kiyomi ShimodaDepartment of Thoracic Surgery, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Tamiko TakemuraDepartment of Pathology, Kanagawa Cardiovascular and Respiratory Center, Japan.
Teruaki OkaDepartment of Pathology, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Takashi YoshiyamaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Kozo YoshimoriRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Ken OhtaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-tuberculosis Association, Japan.
Fukujuji Hospital · JPKanagawa Cardiovascular and Respiratory Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 84-year-old woman visited our hospital for dyspnea due to right pleural effusion, with lymphocytic dominance and a high adenosine deaminase (ADA) level, that had been noted 1 month earlier. She was suspected of having tuberculosis pleurisy; however, anti-tuberculosis treatment yielded no improvements. She was diagnosed with pleural effusion due to primary Sjögren's syndrome (SjS) based on her dry eyes and mouth, positivity for anti-Sjögren's-syndrome-related antigen A/B, and histopathologic findings of a lip biopsy and thoracoscopic pleural biopsy. Her symptoms improved after starting steroid therapy. Cases of pleural effusion due to SjS with a high ADA level may be misdiagnosed as tuberculosis pleurisy.

Indexed as

Pleural EffusionSjogren's SyndromeTuberculosis, PleuralAdenosine DeaminaseAged, 80 and overExudates and TransudatesFemaleHumansAdenosine Deaminaseadenosine deaminasepleural effusionSjögren's syndrometuberculous pleurisy

Identifiers

PMID34393170
PMCPMC8907775
OpenAlexW3196003350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.