Evidence map›Paper›PMID 39622261›Full record

ReviewThe Lancet. Respiratory medicine2025

Idiopathic inflammatory myopathies related lung disease in adults.

Sameep Sehgal, Aditi Patel, Soumya Chatterjee, Anthony P Fernandez, Carol Farver, Ruchi Yadav, Yuebing Li, Sonye K Danoff, Didem Saygin, Julio A Huapaya and 2 more

Abstract readReview
In one paragraph

Review in The Lancet. Respiratory medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Pooled it
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  5. Emerging therapies in idiopathic inflammatory myopathies.Journal of neuromuscular diseases · 2026
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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

12 authors.

Sameep SehgalDepartment of Pulmonary and Critical Care Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: sehgals@ccf.org.
Aditi PatelDepartment of Rheumatologic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, USA.
Soumya ChatterjeeDepartment of Rheumatologic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, USA.
Anthony P FernandezDepartment of Dermatology, Medical Specialty Institute, Cleveland Clinic, Cleveland, OH, USA; Department of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Carol FarverDepartment of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Ruchi YadavDepartment of Diagnostic Radiology, Diagnostic Institute, Cleveland Clinic, Cleveland, OH, USA.
Yuebing LiDepartment of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Sonye K DanoffDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
Didem SayginDivision of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
Julio A HuapayaCritical Care Medicine and Pulmonary Branch, National Heart, Lung, and Blood, Institute, National Institutes of Health, Bethesda, MD, USA.
Erin M WilfongDivision of Rheumatology and Immunology, Division of Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Kristin B HighlandDepartment of Pulmonary and Critical Care Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

Immunophenotypes in the Idiopathic Inflammatory MyopathiesK08AR080808 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Erin M Wilfong · 2022 to 2026
$818k
NIAMS NIH HHS K08 AR080808
6 · The paper itself

Abstract

Interstitial lung disease (ILD) is common in idiopathic inflammatory myopathies in adults, especially in patients with antisynthetase syndrome and anti-MDA5 antibody-associated dermatomyositis. Pulmonary manifestations can range from subclinical ILD to rapidly progressive respiratory failure. Coexistent myositis, characteristic skin lesions, arthritis, and Raynaud's phenomenon are common. However, 16-65% of patients present with isolated lung disease. Detection of myositis-specific and myositis-associated antibodies can aid in diagnosis and disease characterisation. Chest imaging and pathology most commonly show non-specific interstitial pneumonia and organising pneumonia patterns. Immunosuppression is the mainstay of management with aggressive combination treatment for rapidly progressive disease and incremental escalation as needed for chronic ILD. The addition of antifibrotic agents is an option in progressive fibrotic disease, and lung transplantation can be considered in severe, end-stage disease. Most patients respond to treatment, but short-term mortality remains high for patients with rapidly progressive disease associated with anti-MDA5 antibody ILD.

Indexed as

Lung Diseases, InterstitialMyositisAdultAutoantibodiesDermatomyositisDisease ProgressionHumansImmunosuppressive AgentsInterferon-Induced Helicase, IFIH1AutoantibodiesIFIH1 protein, humanImmunosuppressive AgentsInterferon-Induced Helicase, IFIH1

Identifiers

PMID39622261
PMCPMC13138733

What OpenQuestion holds

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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.