Evidence map›Paper›PMID 26483391›Full record

ArticleBMJ case reports2015

Vitamin D-dependent rickets: a resurgence of the rachitic lung in the 21st century.

Ana S C Fernandes, Sandra Lobo, Ana Rita Sandes, Carla Simão, Luisa Lobo, Teresa Bandeira

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Ana S C FernandesRespiratory Unit, Department of Paediatrics, Santa Maria Hospital, Academic Center, Lisbon, Portugal.
Sandra LoboDepartment of Paediatrics, Doutor Agostinho Neto Hospital, Praia, Cape Verde.
Ana Rita SandesNephrology and Transplantation Unit, Department of Paediatrics, Santa Maria Hospital, Academic Center, Lisbon, Portugal.
Carla SimãoNephrology and Transplantation Unit, Department of Paediatrics, Santa Maria Hospital, Academic Center, Lisbon, Portugal.
Luisa LoboImaging Department; Santa Maria Hospital, Academic Center, Lisbon, Portugal.
Teresa BandeiraRespiratory Unit, Department of Paediatrics, Santa Maria Hospital, Academic Center, Lisbon, Portugal.
Hospital de Santa Maria · PTAgostinho Neto University · AO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory complications of rickets may be life-threatening particularly in developing countries. A 7-month-old boy presented with recurrent infections, seizures, failure to thrive, wheezing and respiratory distress progressing to global respiratory failure. Several antimicrobial regimens, bronchodilators and corticosteroids resulted in only short-term improvement. He was transferred from Cape Verde to a third-care hospital in Portugal. He was hypotonic and undernourished, with respiratory anguish and classical skeletal signs of rickets, despite vitamin D supplementation. Hypocalcaemia, normal phosphate levels and normal vitamin D status 25(OH)D3 and 1.25(OH)2D3) pointed to vitamin D-dependent rickets type II. Treatment with high doses of calcium and calcitriol allowed progressive respiratory, musculoskeletal and neurological recovery. Although respiratory manifestations of rickets were described many years ago, the present case raises relevant issues about the level of diagnostic support, the risk of complications and how they should be assessed and monitored.

Indexed as

CalcifediolCalcitriolCalciumDelayed DiagnosisFamilial Hypophosphatemic RicketsHumansInfantMalePortugalRadiography, ThoracicTomography, X-Ray ComputedVitamin D DeficiencyCalcifediolCalcitriolCalcium

Identifiers

PMID26483391
PMCPMC4636699
OpenAlexW2289844991

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.