Evidence map›Paper›PMID 41626259›Full record

ArticleRespirology case reports2026

Steroid-Refractory Cryptogenic Organising Pneumonia (COP) in a Patient With Mannose-Binding Lectin (MBL) Deficiency.

Ilias E Dimeas, Sotirios I Sinis, Paraskevi Kirgou, Cormac McCarthy, Zoe Daniil

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Ilias E DimeasSchool of Medicine University College Dublin Dublin 4 Ireland.ORCID https://orcid.org/0000-0001-6933-1068
Sotirios I SinisDepartment of Respiratory Medicine, Faculty of Medicine University of Thessaly Larissa Greece.ORCID https://orcid.org/0000-0003-3653-260X
Paraskevi KirgouDepartment of Respiratory Medicine, Faculty of Medicine University of Thessaly Larissa Greece.
Cormac McCarthySchool of Medicine University College Dublin Dublin 4 Ireland.
Zoe DaniilDepartment of Respiratory Medicine, Faculty of Medicine University of Thessaly Larissa Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a 67-year-old man with a relapse characterised by fever, respiratory failure and bilateral infiltrates following completion of a short-term empirical methylprednisolone regimen for a similar episode. Serum, upper respiratory tract and bronchoalveolar lavage samples were negative for infection, whereas an extensive antibody panel showed no remarkable findings. The presence of migratory opacities on chest imaging, a mixed cellular lavage pattern and prior steroid responsiveness supported a provisional diagnosis of cryptogenic organising pneumonia. During outpatient follow-up, frequent exacerbations occurred, barring any steroid tapering attempts. An individualised pathophysiological hypothesis is proposed for the recalcitrant course following incidental detection of mannose-binding lectin deficiency. Given the potential role of mannose binding lectin in apoptotic cell clearance and modulation of inflammation, we postulate an impingement on the disease trajectory, which has been previously observed in chronic obstructive pulmonary disease, bronchiectasis and bronchiolitis obliterans post-transplant.

Indexed as

cryptogenic organising pneumoniahydroxychloroquineimmunomodulationmannose‐binding lectin deficiencysteroid‐refractory disease

Identifiers

PMID41626259
PMCPMC12854808

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.