Evidence map›Paper›PMID 26721550›Full record

ArticleJournal of tropical pediatrics2016

Congenital Adrenal Hyperplasia with Non-functional Mutations in Both Alleles in a Clinically Unaffected Infant.

Thomas Hoehn, Zoltan Lukacs, Wolfgang Huckenbeck, Toni Torresani, Oliver Blankenstein, Saysanasongkham Bounnack

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of tropical pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 3 countries.

Thomas HoehnDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, Neonatology and Pediatric Intensive Care Medicine, Heinrich-Heine-University, Duesseldorf 40225, Germany thomas.hoehn@uni-duesseldorf.de.
Zoltan LukacsNewborn Screening and Metabolic Diagnostics, Hamburg University Medical Center, Hamburg 20246, Germany.
Wolfgang HuckenbeckInstitute for Forensic Medicine, Duesseldorf 40225, Germany.
Toni TorresaniChildren's Hospital, Zurich 8032, Switzerland.
Oliver BlankensteinInstitute for Experimental Pediatric Endocrinology, Charité-Universitätsmedizin Berlin, Berlin 13353, Germany.
Saysanasongkham BounnackMinistry of Health, Vientiane, Laos.
Charité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEMinistry of Health · LAUniversität Hamburg · DEUniversity Children's Hospital Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResults in neonatal screening programs aiming at detection of congenital adrenal hyperplasia (CAH) can only report elevated levels of 17-hydroxy-progesterone (17-OHP), without being able to differentiate presence or absence of salt loss.

aimTo predict presence or absence of salt loss in newborn infants with CAH.

methodsThe first specimen of suspected CAH in samples sent from People's Democratic Republic of Laos (Lao PDR) was investigated for known mutations in CAH associated with salt loss.

resultsMolecular genetic diagnosis revealed mutations associated with loss of function in both alleles; however, the infant was clinically unaffected even without any corticosteroid substitution therapy.

conclusionsAlthough molecular genetic methods can theoretically predict loss of function in CAH, our infant was clinically unaffected even without therapy at 6 years of age. We speculate that in CAH, remaining enzyme activity can be sufficiently high, despite the presence of loss of function mutations, which do not affect infants clinically.

Indexed as

17-alpha-HydroxyprogesteroneAdrenal Hyperplasia, CongenitalAllelesHumansInfant, NewbornLaosMolecular BiologyMutationNeonatal ScreeningPredictive Value of TestsSteroid 21-Hydroxylase17-alpha-HydroxyprogesteroneCYP21A2 protein, humanSteroid 21-Hydroxylase17-hydroxy-progesteronecongenital adrenal hyperplasiaCYP21A2 geneLaosneonatal screening

Identifiers

PMID26721550
PMCPMC4886113
OpenAlexW2226991681

What OpenQuestion holds

Textmetadata
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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.