Evidence map›Paper›PMID 41487819›Full record

ArticleCureus2025

Tezepelumab After Mepolizumab in Allergic Bronchopulmonary Mycosis: A Case Report.

Naohiro Oda, Tomohiko Oka, Ryoko Tsuji, Tetsuya Takeguchi, Atsushi Shimonishi, Akihiko Taniguchi, Reo Mitani, Ichiro Takata

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. 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

8 authors.

Naohiro OdaDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Tomohiko OkaDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Ryoko TsujiDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Tetsuya TakeguchiDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Atsushi ShimonishiDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Akihiko TaniguchiDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Reo MitaniDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.
Ichiro TakataDepartment of Internal Medicine, Fukuyama City Hospital, Fukuyama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe the case of a 43-year-old woman with allergic bronchopulmonary mycosis (ABPM) and severe asthma who improved clinically on mepolizumab with eosinophil suppression but had recurrent mucus plugs, persistent right-middle-lobe atelectasis, rising fractional exhaled nitric oxide (FeNO), and high total IgE levels. Following a switch to tezepelumab, she attained sustained symptom control, no systemic steroid-requiring exacerbations, substantial FeNO and IgE decline, and radiologic reduction of mucus plugs and atelectasis. This case illustrates that residual upstream type 2 activity can persist despite IL-5 blockade, and thymic stromal lymphopoietin (TSLP) inhibition may address this gap by concurrently attenuating multiple effectors. In mucus-predominant allergic bronchopulmonary aspergillosis/ABPM with high FeNO/IgE levels after anti-IL-5 therapy, phenotype- and biomarker-guided sequencing of anti-TSLP antibodies may be considered.

Indexed as

airway mucus plugsallergic bronchopulmonary aspergillosisallergic bronchopulmonary mycosistezepelumabthymic stromal lymphopoietin

Identifiers

PMID41487819
PMCPMC12757883

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.