Evidence map›Paper›PMID 40755567›Full record

ArticleCureus2025

Tracheomalacia and Interstitial Pneumonia in a 95-Year-Old Woman With Undiagnosed Rheumatoid Arthritis: A Case Report.

Natsumi Yamamoto, Shiho Amano, Kohei Oka, Chiaki Sano, Ryuichi Ohta

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

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

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.

Natsumi YamamotoCommunity Care, Unnan City Hospital, Unnan, JPN.
Shiho AmanoCommunity Care, Unnan City Hospital, Unnan, JPN.
Kohei OkaCommunity Care, Unnan City Hospital, Unnan, JPN.
Chiaki SanoCommunity Medicine Management, Shimane University Faculty of Medicine, Izumo, JPN.
Ryuichi OhtaCommunity Care, Unnan City Hospital, Unnan, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report describes a 95-year-old woman with a history of cardiovascular and gastrointestinal diseases who presented with fever and anorexia. She was diagnosed with influenza A and secondary bacterial pneumonia. Despite antiviral and antibiotic treatment, her respiratory condition worsened. Detailed examination revealed characteristic joint deformities, elevated rheumatoid factor, and anti-cyclic citrullinated peptide antibodies. Imaging showed interstitial pneumonia and paradoxical breathing with elevation of the membranous portion of the trachea, indicating tracheomalacia. The patient was diagnosed with previously unrecognized rheumatoid arthritis with associated interstitial pneumonia and tracheomalacia. Immunosuppressive therapy with prednisolone and azathioprine improved her condition. This case highlights the importance of thorough systemic evaluation in elderly patients with unexplained respiratory symptoms and the need to consider late-onset autoimmune diseases, including rheumatoid arthritis, in the differential diagnosis.

Indexed as

autoimmune diseasescollagen disease-related interstitial pneumoniaelderlyfamily medicinegeneral medicineimmunosuppressive therapyprednisolonerheumatoid arthritistracheomalacia

Identifiers

PMID40755567
PMCPMC12317295

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.