Evidence map›Paper›PMID 23812910›Full record

ArticleJournal of medical genetics2013

Can the diagnosis of NF1 be excluded clinically? A lack of pigmentary findings in families with spinal neurofibromatosis demonstrates a limitation of clinical diagnosis.

Emma Mm Burkitt Wright, Emma Sach, Saba Sharif, Oliver Quarrell, Thomas Carroll, Richard W Whitehouse, Meena Upadhyaya, Susan M Huson, D Gareth R Evans

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. The value of screening tests in children with neurofibromatosis type 1 (NF1).Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
  6. Article
  7. Article
  8. Update from the 2013 International Neurofibromatosis Conference.American journal of medical genetics. Part A · 2014
    Article
  9. Article
  10. A Patient with Noonan Syndrome with aCase reports in neurology
    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

9 authors at 8 institutions in 3 countries.

Emma Mm Burkitt WrightGenetic Medicine Research Group, Faculty of Medical and Human Sciences, Institute of Human Development, University of Manchester, Manchester, UK.
Emma Sach
Saba Sharif
Oliver Quarrell
Thomas Carroll
Richard W Whitehouse
Meena Upadhyaya
Susan M Huson
D Gareth R Evans
St. Mary’s Hospital · ZABirmingham Women's Hospital · GBCardiff University · GBManchester Academic Health Science Centre · GBManchester University · USRoyal Hallamshire Hospital · GBSheffield Children's Hospital · GBUniversity of Manchester · GB

Funding

Wellcome TrustWellcome Trust 090120
6 · The paper itself

Abstract

backgroundConsensus clinical diagnostic criteria for neurofibromatosis type I (NF1) include café-au-lait macules and skinfold freckling. The former are frequently the earliest manifestation of NF1, and as such are of particular significance when assessing young children at risk of the condition. A phenotype of predominantly spinal neurofibromatosis has been identified in a small minority of families with NF1, often in association with a relative or absolute lack of cutaneous manifestations. An association with splicing and missense mutations has previously been reported for spinal neurofibromatosis, but on the basis of molecular results in only a few families.

methodPatients with spinal NF1 were identified through the Manchester nationally commissioned service for complex NF1.

resultsFive families with spinal NF1 were identified, with a broad spectrum of NF1 mutations, providing further evidence that this phenotype may arise in association with any genre of mutation in this gene. Pigmentary manifestations were absent or very mild in affected individuals. Several further affected individuals, some with extensive spinal root tumours, were ascertained when additional family members were assessed.

conclusionsClinical NF1 consensus criteria cannot be used to exclude the diagnosis of spinal NF1, especially in childhood. This emphasises the importance of molecular confirmation in individuals and families with atypical presentations of NF1.

Indexed as

AdultAgedCafe-au-Lait SpotsChild, PreschoolFemaleGenes, Neurofibromatosis 1HumansMaleMiddle AgedMutationNeurofibromatosis 1PedigreeSpinal DiseasesClinical geneticsDermatologyGeneticsOther neurology

Identifiers

PMID23812910
PMCPMC3756527
OpenAlexW2165493435

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.