Evidence map›Paper›PMID 42428193›Full record

ArticleCureus2026

Wolf in Sheep's Clothing: A Case of Sarcoidosis Exacerbating Asthma.

Madeline Pan, Jennifer McCracken

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Madeline PanJohn Sealy School of Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Jennifer McCrackenAllergy and Immunology, University of Texas Medical Branch at Galveston, Galveston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As a leading cause of chronic respiratory morbidity worldwide, asthma remains a complex disorder characterized by inflammation, recurrent exacerbations, and episodic symptoms. Pulmonary sarcoidosis is a potential misdiagnosis for asthma. Symptoms such as shortness of breath, chest tightness, and dry cough can be present in both conditions, making differentiation difficult. This case highlights the diagnostic challenges and clinical overlap between severe asthma and sarcoidosis in a patient with uncontrolled respiratory symptoms, underscoring the importance of considering other etiologies when standard asthma management is ineffective in controlling symptoms. We present the case of a 59-year-old man with a history of severe asthma who continued to have persistent and worsening respiratory symptoms despite high-dose inhaled steroids, long-acting beta agonists (LABAs), long-acting antimuscarinics, and biologic therapy. Pulmonary function testing evolved from reversible obstruction to a more restrictive pattern, prompting imaging of his chest and subsequent lung biopsy, revealing noncaseating granulomas. This case highlights the diagnostic challenges and clinical overlap between severe asthma and sarcoidosis in a patient with uncontrolled and exacerbating respiratory symptoms.

Indexed as

asthmaground-glass opacitiesnon-necrotizing granulomaspulmonary rehabilitationsarcoidosis

Identifiers

PMID42428193
PMCPMC13348661

What OpenQuestion holds

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LicenceCC BY
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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.