Evidence map›Paper›PMID 34602936›Full record

ReviewJournal of Taibah University Medical Sciences2022

The pathogenesis of COVID-19-induced IgA nephropathy and IgA vasculitis: A systematic review.

Hareem Farooq, Muhammad Aemaz Ur Rehman, Abyaz Asmar, Salman Asif, Aliza Mushtaq, Muhammad Ahmad Qureshi

Open access · goldAbstract readReview
In one paragraph

Review in Journal of Taibah University Medical Sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Review
  13. IgA vasculitis after COVID-19: a case-based review.Rheumatology international · 2024
    Review
  14. IgA vasculitis after COVID-19: a case-based review.Rheumatology international · 2024
    Review
  15. Article
  16. Article
  17. Outcome Comparison in Hospitalized COVID-19 Patients With and Without AKI.Journal of community hospital internal medicine perspectives · 2024
    Article
  18. Acta pharmaceutica Sinica. B · 2024
    Review
  19. Observational
  20. Article
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.

Hareem FarooqDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
Muhammad Aemaz Ur RehmanDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
Abyaz AsmarDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
Salman AsifDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
Aliza MushtaqDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
Muhammad Ahmad QureshiDepartment of Medicine, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
King Edward Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIgA nephropathy (IgAN) and IgA vasculitis (IgAV) are part of a similar clinical spectrum. Both clinical conditions occur with the coronavirus disease 2019 (COVID-19). This review aims to recognize the novel association of IgAN and IgAV with COVID-19 and describe its underlying pathogenesis.

methodsWe conducted a systematic literature search and data extraction from PubMed, Cochrane, ScienceDirect, and Google Scholar following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

resultsOur search identified 13 cases reporting IgAV and IgAN associated with COVID-19 infection and 4 cases of IgAN following COVID-19 vaccination. The mean, mode, and median ages of patients were 23.8, 4, and 8 years, respectively. Most cases associated with COVID-19 infection were reported in males (77%). Rash and purpura (85%) were the most common clinical features, followed by gastrointestinal symptoms (62%). In symptomatic cases, skin or renal biopsy and immunofluorescence confirmed the diagnosis of IgAN or IgAV. Most patients were treated with steroids and reported recovery or improvement; however, death was reported in two patients.

conclusionThere is a paucity of scientific evidence on the pathogenesis of the association of IgAN and IgAV with COVID-19, which thus needs further study. Current research suggests the role of IgA-mediated immune response, evidenced by early seroconversion to IgA in COVID-19 patients and the role of IgA in immune hyperactivation as the predominant mediator of the disease process. Clinicians, especially nephrologists and paediatricians, need to recognize this association, as this disease is usually self-limited and can lead to complete recovery if prompt diagnosis and treatment are provided.

Indexed as

COVID-19IgA NephropathyIgA VasculitisImmune hyperactivationSeroconversion

Identifiers

PMID34602936
PMCPMC8479423
OpenAlexW3203535278

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.