Evidence map›Paper›PMID 41283570›Full record

ArticleAdvances in respiratory medicine2025

Unraveling the Complexities of Hypersensitivity Pneumonitis with Autoimmune Features: A Retrospective Analysis.

Joana Lourenço, Sofia Castro, David Barros Coelho, André Terras Alexandre, Natália Melo, Patrícia Caetano Mota, Hélder Novais Bastos, André Carvalho, António Morais

Abstract read
In one paragraph

Article in Advances in respiratory medicine, 2025. 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. Review
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

9 authors.

Joana LourençoPulmonology Department, Unidade Local de Saúde de Matosinhos, 4464-513 Porto, Portugal.ORCID 0000-0002-3351-3422
Sofia CastroPulmonology Department, Unidade Local de Saúde da Região de Aveiro, 3814-501 Aveiro, Portugal.
David Barros CoelhoPulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.ORCID 0000-0002-0540-7200
André Terras AlexandrePulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.
Natália MeloPulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.
Patrícia Caetano MotaPulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.ORCID 0000-0002-8157-1125
Hélder Novais BastosPulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.ORCID 0000-0002-1412-4202
André CarvalhoRadiology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.
António MoraisPulmonology Department, Unidade Local de Saúde de São João, 4200-319 Porto, Portugal.ORCID 0000-0001-8348-8651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSome hypersensitivity pneumonitis (HP) patients exhibit autoimmune features (HPAF). This study compared outcomes of HPAF and HP without autoimmune features, focusing on progressive pulmonary fibrosis (PPF) and response to immunosuppression.

methodsA retrospective cohort study included HP patients from a single center. HPAF was defined as HP overlapping with autoimmune disease or presenting autoimmune markers/symptoms not fulfilling connective tissue disease criteria. A control HP group without autoimmune features was randomly selected. Demographics, autoimmune profiles, and outcomes over two years were analyzed.

results103 patients were included (52 HPAF; 51 HP). In HPAF, the most common autoimmune diseases were rheumatoid arthritis (9.6%), while 57.7% had isolated autoimmune serology. Groups showed no baseline differences in demographics, exposures, smoking, or lung function. Fibrotic disease on high-resolution CT at diagnosis was less frequent in HPAF (71.2% vs. 88.2%;

conclusionsWithin two years post-diagnosis, HPAF and HP had comparable overall outcomes. However, under immunosuppression, HPAF patients had significantly lower odds of developing PPF (adjusted OR 0.08; 95% CI 0.008-0.816;

Indexed as

Alveolitis, Extrinsic AllergicAutoimmune DiseasesPulmonary FibrosisAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studiesautoimmune featureshypersensitivity pneumonitisimmunosuppressionprogressive pulmonary fibrosis

Identifiers

PMID41283570
PMCPMC12642009

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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.