Evidence map›Paper›PMID 26361562›Full record

ReviewIntractable & rare diseases research2015

Pseudoxanthoma elasticum and skin: Clinical manifestations, histopathology, pathomechanism, perspectives of treatment.

Barbara Marconi, Ivan Bobyr, Anna Campanati, Elisa Molinelli, Veronica Consales, Valerio Brisigotti, Marina Scarpelli, Stefano Racchini, Annamaria Offidani

Open access · bronzeAbstract readReview
In one paragraph

Review in Intractable & rare diseases research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Recurrent strokes and seizures in a young lady with thrombocytopenia: a new clinical face of ABCC6 mutation.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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  5. Liver-directed base editing ofMolecular therapy. Nucleic acids · 2025
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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 1 institution in 1 country.

Barbara MarconiDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Ivan BobyrDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Anna CampanatiDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Elisa MolinelliDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Veronica ConsalesDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Valerio BrisigottiDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Marina ScarpelliInstitute of Pathological Anatomy and Histopathology, Polytechnic University Marche, Ancona, Italty.
Stefano RacchiniInstitute of Pathological Anatomy and Histopathology, Polytechnic University Marche, Ancona, Italty.
Annamaria OffidaniDermatological Unit, Department of Clinical and Molecular Sciences, Polytehnic Marche University, Ancona, Italty;
Marche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudoxantoma elasticum (PXE), also known as Groenblad-Strandberg syndrome, is a rare heritable disease with an estimated prevalence of 1:50,000 in the general population. PXE is considered a prototype of multisystem ectopic mineralization disorders and it is characterized by aberrant mineralization of soft connective tissue with degeneration of the elastic fibers, involving primarily the eyes, the cardiovascular system, and the skin. Cutaneous lesions consist of small, asymptomatic, yellowish papules or larger coalescent plaques, typically located on the neck and the flexural areas. PXE is caused by mutations in the ABCC6 (ATP-binding cassette subfamily C member 6) gene that encodes a transmembrane ATP binding efflux transporter, normally expressed in the liver and the kidney; however, the exact mechanism of ectopic mineralization remains largely unknown. The histological examination of cutaneous lesions, revealing accumulation of pleomorphic elastic structures in middermis, is essential for the definitive diagnosis of PXE, excluding PXE-like conditions. PXE is currently an intractable disease; although the cutaneous findings primarily present a cosmetic problem, they signify the risk for development of ocular and cardiovascular complications associated with considerable morbidity and mortality. The purpose of this review is to present a comprehensive overview of this rare form of hereditary connective tissue disorders, focus on the pathogenesis, the clinical manifestation, and the differential diagnosis of PXE. Emphasis is also placed on the management of cutaneous lesions and treatment perspectives of PXE.

Indexed as

orphan diseasePseudoxanthoma elasticumskin

Identifiers

PMID26361562
PMCPMC4561240
OpenAlexW1501028796

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.