Evidence map›Paper›PMID 36653758›Full record

ArticleBMC pulmonary medicine2023

Pulmonary veno-occlusive disease in Sjogren's syndrome: a case report.

Xiaofang Zeng, Qiong Liu, Anandharajan Rathinasabapathy, Lihuang Zha, Dongliang Liu, Yiyang Tang, Jing Sun, Hui Luo, Zaixin Yu

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Pulmonary arterial hypertension with signs of venous/capillary involvement in connective tissue diseases: paradigms and paradoxes.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  2. 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

9 authors at 4 institutions in 2 countries.

Xiaofang ZengDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.
Qiong LiuDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.
Anandharajan RathinasabapathyDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Lihuang ZhaDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.
Dongliang LiuDepartment of Emergency Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yiyang TangDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.
Jing SunDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China.
Hui LuoDepartment of Cardiology, The First Hospital of Changsha, Changsha, Hunan, China.
Zaixin YuDepartment of Cardiology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, Hunan, China. yuzaixin@csu.edu.cn.
Xiangya Hospital Central South University · CNCentral South University · CNThe First Hospital of Changsha · CNVanderbilt University Medical Center · US

Funding

Fundamental Research Funds for the Central Universities of Central South University 1053320191678Key Research and development program of Hunan Province 2020SK2065National Natural Science Foundation of China 81873416National Natural Science Foundation of China 82070055National Natural Science Foundation of China 8210012237Natural Science Foundation project of Hunan province 2020JJ4634
6 · The paper itself

Abstract

backgroundPulmonary arterial hypertension (PAH) associated with connective tissue disease (CTD) belongs to Group 1 pulmonary hypertension. Pulmonary veno-occlusive disease (PVOD), which is characterized by venous system aberrations, has been previously reported in CTD-PAH; however, it has rarely been observed in Sjogren's syndrome (SS). CASE PRESENTATION: Our 28-year-old female patient was admitted to the hospital with recurrent shortness of breath even after minimal physical activity. Her chest high-resolution CT scan demonstrated pulmonary artery dilatation and bilateral ground-glass nodules. A subsequent right heart catheterization confirmed pulmonary hypertension because her mean pulmonary arterial pressure was 62 mmHg. Our inquisitive genomic assessment identified a novel EIF2AK4 mutation at c.1021 C > T (p. Gln341*), the dominant causal gene of PVOD. Histological examination demonstrated stenosis and occlusions in the pulmonary veins. Because she presented with features such as dry eyes and Raynaud's phenomenon, we performed a biopsy on the labial salivary gland, which confirmed SS. Her treatment regimen included PAH-targeted therapies (tadalafil and macitentan) in combination with hydroxychloroquine. Although she was hospitalized several times due to acute exacerbation of PAH, her disease progression was under control, and she did not demonstrate any signs of pulmonary edema even after a three-year treatment period.

conclusionHere, we report the case of an SS-PAH patient with PVOD who carried a novel biallelic EIF2AK4 mutation, and PAH-targeted therapies were well tolerated by our patient.

Indexed as

Hypertension, PulmonaryPulmonary Arterial HypertensionPulmonary Veno-Occlusive DiseaseSjogren's SyndromeAdultFamilial Primary Pulmonary HypertensionFemaleHumansLungProtein Serine-Threonine KinasesEIF2AK4 protein, humanProtein Serine-Threonine KinasesEIF2AK4pulmonary arterial hypertensionpulmonary veno-occlusive diseaseSjogren’s syndrome

Identifiers

PMID36653758
PMCPMC9847112
OpenAlexW4317209763

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Registered trials

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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.