Evidence map›Paper›PMID 25659842›Full record

Trial reportHormone research in paediatrics2015

Liver disease and other comorbidities in Wolcott-Rallison syndrome: different phenotype and variable associations in a large cohort.

Abdelhadi M Habeb, Asma Deeb, Matthew Johnson, Mohammed Abdullah, Majidah Abdulrasoul, Hussain Al-Awneh, Mohammed S F Al-Maghamsi, Fathiya Al-Murshedi, Ramlah Al-Saif, Siham Al-Sinani and 4 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Hormone research in paediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  5. Kidney biopsy findings in children with diabetes mellitus.Pediatric nephrology (Berlin, Germany) · 2024
    Review
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  7. Article
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  10. Wolcott-Rallison syndrome: a case series of three patients.Pediatric endocrinology, diabetes, and metabolism · 2022
    Article
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  19. Multicystic dysplastic kidney: a new association of Wolcott-Rallison syndrome.Endocrinology, diabetes & metabolism case reports · 2017
    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 at 9 institutions in 7 countries.

Abdelhadi M HabebPaediatric Department, Prince Mohammed bin-Abdulaziz Hospital, Madinah, Saudi Arabia.
Asma Deeb
Matthew Johnson
Mohammed Abdullah
Majidah Abdulrasoul
Hussain Al-Awneh
Mohammed S F Al-Maghamsi
Fathiya Al-Murshedi
Ramlah Al-Saif
Siham Al-Sinani
Dina Ramadan
Hala Tfayli
Sarah E Flanagan
Sian Ellard
University of Exeter · GBMaternity and Children's Hospital · SAAl-Sabah Hospital · KWAmerican University of Beirut Medical Center · LBKuwait University · KWMafraq Hospital · AEPrince Mohammed bin Abdulaziz Hospital · SASultan Qaboos University Hospital · OMUniversity of Khartoum · SD

Funding

Wellcome Trust 098395
6 · The paper itself

Abstract

backgroundWolcott-Rallison syndrome (WRS) is caused by recessive EIF2AK3 mutations and characterized by early-onset diabetes and skeletal dysplasia. Hepatic dysfunction has been reported in 60% of patients.

aimsTo describe a cohort of WRS patients and discuss the pattern and management of their liver disease.

methodsDetailed phenotyping and direct sequencing of EIF2AK3 gene were conducted in all patients.

resultsTwenty-eight genetically confirmed patients (67% male; mean age 4.6 years) were identified. 17 different EIF2AK3 mutations were detected, of which 2 were novel. The p.S991N mutation was associated with prolonged survival and p.I650T with delayed onset. All patients presented before 25 months with diabetes with variation in the frequency and severity of 10 other features. Liver disease, first manifested as non-autoimmune hepatitis, was the commonest extra-pancreatic feature identified in 85.7% (24/28). 22/24 had at least one episode of acute hepatic failure which was the cause of death in all deceased patients (13/28). One child was treated by liver transplantation and had no liver disease and better diabetes control for the following 6 years.

conclusionsLiver disease in WRS is more frequent than previously described and carries high mortality. The first experience with liver transplantation in WRS is encouraging.

Indexed as

Diabetes Mellitus, Type 1HepatitisLiver FailureLiver TransplantationOsteochondrodysplasiasChild, PreschoolCohort StudiesComorbidityeIF-2 KinaseEpiphysesFemaleHumansMaleMutationEIF2AK3 protein, humaneIF-2 Kinase

Identifiers

PMID25659842
PMCPMC4464042
OpenAlexW2014827810

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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.