Evidence map›Paper›PMID 37069014›Full record

ArticleEuropean journal of internal medicine2023

Acute pericarditis with pleuropulmonary involvement, fever and elevated C-reactive protein: A systemic autoinflammatory disease? A cohort study.

Anna Maria Pisacreta, Ruggiero Mascolo, Mariangela Nivuori, Costanza Caccia Dominioni, Claudia Gabiati, Lucia Trotta, Massimo Pancrazi, Giacomo Di Marco, Chiara Carollo, Alice Pedroli and 5 more

Registry-linked trialAbstract readComment
PubMed Publisher
In one paragraph

Article in European journal of internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05925790 (Observational Study on Anti-interleukin-1 Receptor Antagonist Antibodies and Soluble Urokinase Plasminogen Activator Receptor), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT05925790 unknown statusnot on this map

Observational Study on Anti-interleukin-1 Receptor Antagonist Antibodies and Soluble Urokinase Plasminogen Activator Receptor (suPAR) in Pericarditis: PERIPLO (PERicarditis: IL-1 RA Antibodies and suPAR Levels Observational) Study

TypeobservationalSponsorASST Fatebenefratelli SaccoRan2023 to 2025Enrolled146ConditionsPericarditisArmsIL1RA Antibody Assay, suPAR Testing
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Recent advances in multimodality imaging-guided therapy in pericarditis.European journal of clinical investigation · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Causes of Polyserositis: A Systematic Review.Journal of personalized medicine · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Anna Maria PisacretaDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy. Electronic address: anna.pisacreta@unimi.it.
Ruggiero MascoloDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Mariangela NivuoriDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Costanza Caccia DominioniDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Claudia GabiatiDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Lucia TrottaDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Massimo PancraziDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Giacomo Di MarcoDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Chiara CarolloDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Alice PedroliDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Francesca CasarinDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Enrico TombettiDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy; Department of Biomedical and Clinical Sciences, Fatebenefratelli Hospital, Università di Milano, Milan, Italy.
Emanuele BizziDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy.
Massimo ImazioCardiothoracic Department, Santa Maria della Misericordia Hospital, and DAME, University of Udine, Udine, Italy.
Antonio BrucatoDepartment of Internal Medicine, ASST Fatebenefratelli-Sacco, Milan, Italy; Department of Biomedical and Clinical Sciences, Fatebenefratelli Hospital, Università di Milano, Milan, Italy.
ASST Fatebenefratelli Sacco · ITFatebenefratelli Hospital · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis cohort study describes a systemic phenotype of pericarditis, comparing this phenotype with other forms of pericarditis. PATIENTS AND

methodsPatients in our center were enrolled in a prospectively maintained registry from 2019 to 2022. 412 patients with idiopathic recurrent pericarditis were analyzed. "Systemic inflammatory" subset was defined as the presence of all the following criteria: fever ≥38C°, CRP ≥2 times normal values, pleural effusion detected with any imaging techniques. The absence of any of the 3 criteria was defined as "isolated" subset.

resultsWe found that 211 (51.2%) of 412 patients (188 female) presented the systemic subset and the variables significantly associated with this subset in univariate analysis (p<0.001) were: higher mean age: 45.5 (±SD 17.2) vs 39.9 (±SD 16.4) years, higher mean CRP values: 128.8 vs 49.9 mg/L, higher proportion of pericardiocentesis: 19% vs 1.5%, higher mean leukocyte count: 13,143.3 vs 9910.3/mm

conclusionThis results demonstrate the relevance of the systemic inflammatory phenotype, characterized by pleural effusions, confirming its analogy with autoinflammatory diseases, thus possibly requiring an eventual escalation of therapy to IL-1 inhibitors.

Indexed as

Hereditary Autoinflammatory DiseasesPericarditisPleural EffusionCohort StudiesC-Reactive ProteinFemaleFeverHumansC-Reactive ProteinAutoinflammatory diseasesIL-1Neutrophil-to-lymphocyte ratioPericarditisPleural effusionPleuritis

Identifiers

PMID37069014
OpenAlexW4365814465

What OpenQuestion holds

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Registered trials

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.