Evidence map›Paper›PMID 42170597›Full record

ArticleJournal of human immunity2026

A systematic literature review of CVID reveals pervasive detrimental noninfectious manifestations.

G Michelle Ducasa, Rebecca A Marsh, Ali Mojebi, Hsi-En Ho, Charlotte Cunningham-Rundles, Lisa Forbes Satter, Elena W Y Hsieh, Sinisa Savic, Marta Dafne Cabañero-Navalón, Hector Balastegui-Martin and 4 more

Abstract read
In one paragraph

Article in Journal of human immunity, 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. Chronic spontaneous urticaria as an autoimmune feature in common variable immunodeficiency.The journal of allergy and clinical immunology. Global · 2026
    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

14 authors.

G Michelle Ducasa *Precision AQ, Bethesda, MD, USA.ORCID https://orcid.org/0009-0000-4201-3078
Rebecca A Marsh *Pharming Healthcare, Inc, Warren, NJ, USA.ORCID https://orcid.org/0000-0002-9645-0617
Ali MojebiPrecision AQ, Bethesda, MD, USA.ORCID https://orcid.org/0000-0003-2318-8627
Hsi-En HoIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0002-7160-2960
Charlotte Cunningham-RundlesIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0003-0725-0320
Lisa Forbes SatterTexas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.ORCID https://orcid.org/0000-0001-9402-1934
Elena W Y HsiehUniversity of Colorado Anschutz School of Medicine, Aurora, CO, USA.ORCID https://orcid.org/0000-0003-3969-6597
Sinisa SavicLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-7910-0554
Marta Dafne Cabañero-NavalónPrimary Immunodeficiencies Unit, Department of Internal Medicine, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID https://orcid.org/0000-0002-1447-9214
Hector Balastegui-MartinPrimary Immunodeficiencies Unit, Department of Internal Medicine, University and Polytechnic Hospital La Fe, Valencia, Spain.ORCID https://orcid.org/0000-0002-4651-6841
Joud HajjarTexas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.ORCID https://orcid.org/0000-0003-4633-1043
Gulbu UzelNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID https://orcid.org/0009-0003-0700-694X
Kevin S ThorneloePharming Healthcare, Inc, Warren, NJ, USA.ORCID https://orcid.org/0000-0003-3640-9839
Jocelyn R FarmerLahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA.ORCID https://orcid.org/0000-0003-4901-9848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Noninfectious manifestations of common variable immunodeficiency (CVID) are not formally summarized. We performed a systematic literature review to generate a comprehensive reference for the field. Splenomegaly was the most reported manifestation across 53 publications, occurring in a median of 35.2% of patients. Frequently reported digestive system manifestations included diarrhea (median 27.8%; 21 publications), hepato(spleno)megaly (median, 21.0%; 19 publications), portal hypertension (median 21.0%; 3 publications), nodular lymphoid hyperplasia (median, 17.0%; 9 publications), and enteropathy (median, 16.0%; 34 publications). Other notable manifestations included interstitial lung disease (median, 8.7%; 32 publications) and autoimmune cytopenias (median 18.0%; 21 publications). Steroids and rituximab were the most frequently reported treatments. Numerous manifestations significantly adversely affected survival, including lymphoma, granulomatous lymphocytic interstitial lung disease, splenomegaly, and liver diseases. These comprehensive data document the pervasiveness and negative impact of noninfectious manifestations in CVID and support a call to action to develop novel therapeutics.

Identifiers

PMID42170597
PMCPMC13177467

What OpenQuestion holds

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LicenceCC BY
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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.