Evidence map›Paper›PMID 27478349›Full record

ArticleJournal of Korean medical science2016

Hypopituitarism Presenting as Adrenal Insufficiency and Hypothyroidism in a Patient with Wilson's Disease: a Case Report.

Hae Won Lee, Jin Du Kang, Chang Woo Yeo, Sung Woon Yoon, Kwang Jae Lee, Mun Ki Choi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of Korean medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 2 institutions in 2 countries.

Hae Won LeeDepartment of Internal Medicine, Daedong Hospital, Busan, Korea .ORCID 0000-0002-7744-2187
Jin Du KangDepartment of Internal Medicine, Daedong Hospital, Busan, Korea .ORCID 0000-0003-2191-7718
Chang Woo YeoDepartment of Internal Medicine, Daedong Hospital, Busan, Korea .ORCID 0000-0001-5753-4191
Sung Woon YoonDepartment of Internal Medicine, Daedong Hospital, Busan, Korea .ORCID 0000-0001-7073-020X
Kwang Jae LeeDepartment of Internal Medicine, Daedong Hospital, Busan, Korea .ORCID 0000-0001-5468-6499
Mun Ki ChoiDepartment of Internal Medicine, New Tong Yeong Hospital, Tongyeong, Korea .ORCID 0000-0002-5725-7128
Yang Hospital · KRTongren Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wilson's disease typically presents symptoms associated with liver damage or neuropsychiatric disturbances, while endocrinologic abnormalities are rare. We report an unprecedented case of hypopituitarism in a patient with Wilson's disease. A 40-year-old woman presented with depression, general weakness and anorexia. Laboratory tests and imaging studies were compatible with liver cirrhosis due to Wilson's disease. Basal hormone levels and pituitary function tests indicated secondary hypothyroidism and adrenal insufficiency due to hypopituitarism. Brain MRI showed T2 hyperintense signals in both basal ganglia and midbrain but the pituitary imaging was normal. She is currently receiving chelation therapy along with thyroid hormone and steroid replacement. There may be a relationship between Wilson's disease and hypopituitarism. Copper deposition or secondary neuronal damage in the pituitary may be a possible explanation for this theory.

Indexed as

Adrenal InsufficiencyAdultBrainDepressionFemaleHepatolenticular DegenerationHumansHypopituitarismHypothyroidismLiver CirrhosisMagnetic Resonance ImagingSteroidsThyrotropin-Releasing HormoneSteroidsThyrotropin-Releasing HormoneAdrenal InsufficiencyHepatolenticular DegenerationHypopituitarismHypothyroidism

Identifiers

PMID27478349
PMCPMC4951568
OpenAlexW2471323787

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.