Evidence map›Paper›PMID 41093560›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Drug-induced Interstitial Lung Disease with a Hypersensitivity Pneumonitis Pattern Following Pembrolizumab Plus Epirubicin and Cyclophosphamide Therapy: First Report with Pathological Findings.

Shota Kaburaki, Toru Tanaka, Koichiro Kamio, Yosuke Tanaka, Kazuo Kasahara, Yasuhiro Terasaki, Masahiro Seike

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Shota KaburakiDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.
Toru TanakaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.
Koichiro KamioDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.
Yosuke TanakaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.
Kazuo KasaharaDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.
Yasuhiro TerasakiDepartment of Analytic Human Pathology, Nippon Medical School, Japan.
Masahiro SeikeDepartment of Pulmonary Medicine and Oncology, Graduate School of Medicine, Nippon Medical School, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the first pathologically confirmed case of drug-induced interstitial lung disease (DI-ILD) with hypersensitivity pneumonitis (HP). A 63-year-old woman with triple-negative breast cancer developed a fever and cough 1 week after starting neoadjuvant pembrolizumab plus epirubicin and cyclophosphamide (EC). Chest computed tomography revealed diffuse centrilobular ground-glass opacities, and a cryobiopsy confirmed non-fibrotic HP. Although Krebs von den Lungen-6 levels were normal, surfactant protein-D levels were elevated. The patient's condition improved with drug discontinuation and brief corticosteroid therapy, enabling curative surgery. This presentation may represent a distinct phenotype of EC-induced ILD, underscoring the importance of an early diagnosis.

Indexed as

Alveolitis, Extrinsic AllergicAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideEpirubicinLung Diseases, InterstitialFemaleHumansMiddle AgedTomography, X-Ray ComputedAntibodies, Monoclonal, HumanizedCyclophosphamideEpirubicinpembrolizumabcyclophosphamidedrug-induced interstitial lung diseaseepirubicinhypersensitivity pneumonitispembrolizumab

Identifiers

PMID41093560
PMCPMC13294584

What OpenQuestion holds

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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.