Evidence map›Paper›PMID 40060126›Full record

ArticleArchives of rheumatology2024

Common variable immunodeficiency and autoimmune diseases: A 10-year single-center experience.

Filiz Sadi Aykan, Fatih Çölkesen, Recep Evcen, Mehmet Kılınç, Eray Yıldız, Şevket Arslan

Abstract read
In one paragraph

Article in Archives of rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Filiz Sadi AykanDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Ankara Health Sciences University, Gülhane Training and Research Hospital, Ankara, Türkiye.ORCID 0000-0002-8941-5573
Fatih ÇölkesenDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye.ORCID 0000-0002-6595-1267
Recep EvcenDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Recep Tayyip Erdoğan University Training and Research Hospital, Rize, Türkiye.ORCID 0000-0002-6124-5816
Mehmet KılınçDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Batman Training and Research Hospital, Batman, Türkiye.ORCID 0000-0003-1117-6872
Eray YıldızDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Necip Fazıl City Hospital, Kahramanmaraş, Türkiye.ORCID 0000-0002-9596-1773
Şevket ArslanDepartment of Internal Medicine, Division of Clinical Immunology and Allergy, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye.ORCID 0000-0002-0343-0159

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to determine the frequency of autoimmune diseases (ADs) accompanying common variable immunodeficiency (CVID) and evaluate clinical and immunological features, organ manifestation, and effects on malignancy and mortality. Patients and methods: The retrospective study was conducted with 85 patients (47 males, 38 females; median age: 38 years; range, 30 to 53 years) with CVID between January 2013 and January 2023. The patients were divided into two groups according to the presence of ADs: CVID patients with ADs [AD-CVID (+) group; n=36] and CVID patients without ADs [AD-CVID (-) group; n=49]. The clinical and immunological features of the groups were compared, and the effects on organ manifestations, malignancy development, and mortality were evaluated. Results: The diagnostic delay in the AD-CVID (+) group was 84 months and was longer than that in the AD-CVID (-) group. The most common AD was cytopenia, particularly immune thrombocytopenic purpura. Splenomegaly was the most common organ manifestation. Sjögren syndrome was the most common rheumatic disease. There was no difference between the immunoglobulin levels and lymphocyte subgroup levels, whereas the class-switched memory B cell levels were lower in the AD-CVID (+) group. While malignancy, particularly non-Hodgkin lymphoma, was more common in the AD-CVID (+) group, no difference was observed in mortality between the groups. Conclusion: Adult CVID patients with ADs have a longer diagnostic delay. Autoimmune conditions, particularly autoimmune cytopenias and inflammatory diseases, are much more common in patients with CVID than in the general population. Therefore, physicians' awareness of autoimmune manifestations in CVID patients should be increased to prevent delays in diagnosis.

Indexed as

Autoimmunitycytopeniaimmunodeficiencyrheumatic diseasesplenomegaly.

Identifiers

PMID40060126
PMCPMC11883266

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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.