Evidence map›Paper›PMID 39759505›Full record

ReviewFrontiers in immunology2024

A case of massive hemoptysis caused by immunoglobulin G4-related respiratory disease in adults: case report and review of literature.

Chun-Xia Mei, Guo-Long Yue, Xia Feng, Hai-Qiao Wu, Jiong Li

Abstract readCase ReportsReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Chun-Xia MeiDepartment of Respiratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Guo-Long YueDepartment of Respiratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Xia FengDepartment of Respiratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Hai-Qiao WuDepartment of Respiratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Jiong LiDepartment of Respiratory, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated chronic fibro-inflammatory condition, that can involve multiple systems. Immunoglobulin G4-related respiratory disease (IgG4-RRD) is relatively rare, with non-specific clinical symptoms. Hemoptysis is a rare clinical symptom of IgG4-RRD, and cases of massive hemoptysis in adults have not been reported. We present here a rare case of massive hemoptysis caused by IgG4-RRD in adults and review relevant literature. An 84-year-old female presented with recurrent cough and blood-streaked sputum, progressing to massive hemoptysis. Her chest CT showed patchy lesions in the lungs, initially misdiagnosed as a tumor. Ultimately, a biopsy confirmed the diagnosis of IgG4-RRD. The patient was treated with prednisone combined with leflunomide, which controlled her condition and maintained remission. However, after 13 months without hemoptysis, she experienced intermittent hemoptysis followed by a massive episode. Increasing the prednisone dose and continuing leflunomide treatment controlled the condition once again, with no recurrence in the subsequent year of follow-up. In patients with IgG4-RRD, particularly those with hemoptysis, it is essential to remain vigilant for massive hemoptysis. Similarly, in patients with lung patch lesions and no evidence of a tumor on biopsy, IgG4-RRD should not be overlooked. Early diagnosis and timely treatment can improve the patient's clinical prognosis.

Indexed as

HemoptysisImmunoglobulin G4-Related DiseaseAged, 80 and overFemaleHumansImmunoglobulin GPrednisoneTomography, X-Ray ComputedImmunoglobulin GPrednisonehemoptysisimmunoglobulin G4-related diseaseimmunoglobulin G4-related respiratory diseaseprognosistreatment

Identifiers

PMID39759505
PMCPMC11695412

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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.