Evidence map›Paper›PMID 34707877›Full record

ArticleRespirology case reports2021

Anti-MDA5 antibody-positive clinically amyopathic dermatomyositis with diffuse alveolar damage diagnosed by transbronchial lung cryobiopsy: A case report.

Hiroyuki Ishihara, Kensuke Kataoka, Reoto Takei, Yasuhiko Yamano, Toshiki Yokoyama, Toshiaki Matsuda, Tomoki Kimura, Junya Fukuoka, Takeshi Johkoh, Yasuhiro Kondoh

Abstract readCase Reports
In one paragraph

Article in Respirology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Hiroyuki IshiharaDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Kensuke KataokaDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Reoto TakeiDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Yasuhiko YamanoDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Toshiki YokoyamaDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Toshiaki MatsudaDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Tomoki KimuraDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.
Junya FukuokaDepartment of Laboratory of Pathology Nagasaki University Hospital Nagasaki Japan.
Takeshi JohkohDepartment of Radiology Kansai Rosai Hospital Amagasaki Japan.
Yasuhiro KondohDepartment of Respiratory Medicine and Allergy Tosei General Hospital Seto Japan.ORCID https://orcid.org/0000-0001-7456-5459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffuse alveolar damage (DAD) is known to be a pathological hallmark of acute respiratory distress syndrome or acute interstitial pneumonia, and to have a poor prognosis. We report a case of anti-melanoma differentiation-associated gene 5 (MDA5) antibody-positive clinically amyopathic dermatomyositis (CADM) with rapidly progressive interstitial lung disease (RP-ILD), in which DAD was confirmed by transbronchial lung cryobiopsy at an early stage without respiratory failure. Although this patient initially did not show respiratory failure, his respiratory condition gradually worsened despite intensive immunosuppression therapy and he died 3 months later. Therefore, the early pathological findings of DAD did not match the clinical picture, which showed no respiratory failure. However, these findings were consistent with the subsequent course and poor outcome. Histological DAD, even in the absence of respiratory failure, may indicate a subsequent poor prognosis and explain the refractory course of RP-ILD with anti-MDA5 antibody-positive CADM.

Indexed as

anti‐melanoma differentiation‐associated gene 5clinically amyopathic dermatomyositiscryobiopsydiffuse alveolar damagerapidly progressive interstitial lung disease

Identifiers

PMID34707877
PMCPMC8524674

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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.