Evidence map›Paper›PMID 19396570›Full record

ArticleJournal of inherited metabolic disease2009

Congenital disorder of glycosylation type Ia: heterogeneity in the clinical presentation from multivisceral failure to hyperinsulinaemic hypoglycaemia as leading symptoms in three infants with phosphomannomutase deficiency.

B Shanti, M Silink, K Bhattacharya, N J Howard, K Carpenter, M Fietz, P Clayton, J Christodoulou

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of inherited metabolic disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Endocrine Implications of Congenital Disorders of GlycosylationJournal of clinical research in pediatric endocrinology · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Hypoglycaemia Metabolic Gene Panel Testing.Frontiers in endocrinology · 2022
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Congenital disorders of glycosylation.Annals of translational medicine · 2018
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. The molecular mechanisms, diagnosis and management of congenital hyperinsulinism.Indian journal of endocrinology and metabolism · 2013
    Article
  20. 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

8 authors at 4 institutions in 2 countries.

B ShantiGenetic Metabolic Disorders Service, Children's Hospital at Westmead, Sydney, Australia.
M Silink
K Bhattacharya
N J Howard
K Carpenter
M Fietz
P Clayton
J Christodoulou
Children's Hospital at Westmead · AUUniversity of Sydney · AUSouth Australia Pathology · AUUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe three patients with congenital disorder of glycosylation (CDG) type Ia, all of whom had persistent hyperinsulinaemic hypoglycaemia responding to diazoxide therapy as a common feature. The first patient, an infant girl, presented with recurrent vomiting, failure to thrive, liver impairment, hypothyroidism and a pericardial effusion. The second patient, also female, had a milder disease with single organ involvement, presenting as isolated hyperinsulinaemic hypoglycaemia, not associated with any cognitive impairment. The third patient, a boy presented with multi-organ manifestations including congenital hypothyroidism, persistent hyperinsulinaemic hypoglycaemia, coagulopathy, olivopontocerebellar hypoplasia and recurrent pancreatitis. All three patients had a type 1 serum transferrin isoform pattern, and were subsequently found to have low phosphomannomutase activity, confirming the diagnosis of CDG type Ia. Our findings emphasize that CDG should be considered as a differential diagnosis in patients with persistent hyperinsulinaemic hypoglycaemia and that it may even occasionally be the leading symptom in CDG Ia.

Indexed as

BrainChild, PreschoolCongenital Disorders of GlycosylationCongenital HyperinsulinismDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornMaleMultiple Organ FailureMutationNesidioblastosisOlivopontocerebellar AtrophiesPhosphotransferases (Phosphomutases)phosphomannomutase 2, humanPhosphotransferases (Phosphomutases)

Identifiers

PMID19396570
OpenAlexW2063205001

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.