Evidence map›Paper›PMID 27167729›Full record

ArticleEuropean journal of medical genetics2016

Spectrum of clinical manifestations in two young Turkish patients with congenital generalized lipodystrophy type 4.

Gulcin Akinci, Haluk Topaloglu, Baris Akinci, Huseyin Onay, Cem Karadeniz, Yakup Ergul, Tevfik Demir, Emin Evren Ozcan, Canan Altay, Tahir Atik and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in European journal of medical genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Severe Insulin Resistance Syndromes: Clinical Spectrum and Management.International journal of molecular sciences · 2025
    Review
  3. Article
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  6. Review
  7. A new mutation in theFrontiers in endocrinology · 2023
    Review
  8. Article
  9. Severe insulin resistance syndromes.The Journal of clinical investigation · 2021
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Update on Therapeutic Options in Lipodystrophy.Current diabetes reports · 2018
    Review
  16. [A case report of congenital generalized lipodystrophy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Article
  17. Anesthesia for patients withJA clinical reports · 2018
    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

11 authors at 6 institutions in 2 countries.

Gulcin AkinciDivision of Pediatric Neurology, Dr. Behcet Uz Children's Hospital, Izmir, Turkey. Electronic address: akinci.gulcin@gmail.com.
Haluk TopalogluDivision of Pediatric Neurology, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Baris AkinciDivision of Endocrinology and Metabolism, Department of Internal Medicine, Dokuz Eylul University, Izmir, Turkey.
Huseyin OnayDepartment of Medical Genetics, Ege University, Izmir, Turkey.
Cem KaradenizDivision of Pediatric Cardiology, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
Yakup ErgulDepartment of Pediatric Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey.
Tevfik DemirDivision of Endocrinology and Metabolism, Department of Internal Medicine, Dokuz Eylul University, Izmir, Turkey.
Emin Evren OzcanDepartment of Cardiology, Dokuz Eylul University, Izmir, Turkey.
Canan AltayDepartment of Radiology, Dokuz Eylul University, Izmir, Turkey.
Tahir AtikDivision of Pediatric Genetics, Department of Pediatrics, Ege University, Izmir, Turkey.
Abhimanyu GargDivision of Nutrition and Metabolic Diseases, Center for Human Nutrition, Department of Internal Medicine, UT Southwestern Medical Center at Dallas, Dallas, TX, USA.
Dokuz Eylül University · TRDr. Behçet Uz Çocuk Hastalıkları Hastanesi · TREge University · TRBurdur Mehmet Akif Ersoy Üniversitesi · TRHacettepe University · TRSouthwestern Medical Center · US

Funding

Genetic and Metabolic Basis of Familial LipodystrophiesR01DK105448 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Abhimanyu Garg · 2015 to 2026
$6.5M
GENETIC AND METABOLIC BASIS OF FAMILIAL LIPODYSTROPHIESR01DK054387 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI GARG, ABHIMANYU · 1999 to 2011
$6.4M
NIDDK NIH HHS R01 DK054387NIDDK NIH HHS R01 DK105448
6 · The paper itself

Abstract

Congenital generalized lipodystrophy type 4 is an extremely rare autosomal recessive disorder. We report our clinical experience on two unrelated Turkish patients with congenital generalized lipodystrophy type 4. A 13-year-old girl (patient-1) presented with generalized lipodystrophy and myopathy. Further tests revealed ventricular and supraventricular arrhythmias, gastrointestinal dysmotility, atlantoaxial instability, lumbosacral scoliosis, and metabolic abnormalities associated with insulin resistance. A 16-year-old girl (patient-2) with congenital generalized lipodystrophy type 4 was previously reported. Here, we report on her long term clinical follow-up. She received several course of anti-arrhythmic treatments for catecholaminergic polymorphic ventricular tachycardia and rapid atrial fibrillation. An implantable cardioverter defibrillator was also placed. A homozygous PTRF mutation, c.259C > T (p.Gln87*), was identified in patient-1. Congenital generalized lipodystrophy type 4 was caused by homozygous PTRF c.481-482insGTGA (p.Lys161Serfs*41) mutation in patient-2. Our data indicate that patients with congenital generalized lipodystrophy type 4 should be meticulously evaluated for cardiac, neuromuscular, gastrointestinal and skeletal diseases, as well as metabolic abnormalities associated with insulin resistance.

Indexed as

AdolescentArrhythmias, CardiacFemaleHomozygoteHumansInsulin ResistanceLipodystrophy, Congenital GeneralizedMutationPedigreePolymorphic Catecholaminergic Ventricular TachycardiaRNA-Binding ProteinsTachycardia, VentricularTurkeyCAVIN1 protein, humanRNA-Binding ProteinsArrhythmiaInsulin resistanceLipodystrophyMyopathyPTRF

Identifiers

PMID27167729
PMCPMC7605892
OpenAlexW2355694615

What OpenQuestion holds

Textmetadata
LicenceTDM
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.