Evidence map›Paper›PMID 27631079›Full record

ArticleSkeletal radiology2016

Bone imaging findings in genetic and acquired lipodystrophic syndromes: an imaging study of 24 cases.

Stephanie Teboul-Coré, Caroline Rey-Jouvin, Anne Miquel, Camille Vatier, Jacqueline Capeau, Jean-Jacques Robert, Thao Pham, Olivier Lascols, Francis Berenbaum, Jean-Denis Laredo and 2 more

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In one paragraph

Article in Skeletal radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 23% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 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

12 authors at 8 institutions in 1 country.

Stephanie Teboul-CoréRheumatology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, 184, rue du Faubourg Saint-Antoine, 75012, Paris, France.
Caroline Rey-JouvinRheumatology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, 184, rue du Faubourg Saint-Antoine, 75012, Paris, France.
Anne MiquelRadiology Department, AP-HP, Saint-Antoine Hospital, Paris, France.
Camille VatierEndocrinology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, Paris, France.
Jacqueline CapeauInserm UMRS_938, Centre de Recherche Saint-Antoine, Paris, France.
Jean-Jacques RobertDepartment of Diabetes in Children and Adolescents, Hôpital Necker-Enfants Malades, Paris, France.
Thao PhamRheumatology Department, APHM, Sainte-Marguerite Hospital, Service de Rhumatologie, Aix-Marseille Université, Marseille, France.
Olivier LascolsInserm UMRS_938, Centre de Recherche Saint-Antoine, Paris, France.
Francis BerenbaumRheumatology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, 184, rue du Faubourg Saint-Antoine, 75012, Paris, France.
Jean-Denis LaredoRadiology Department, AP-HP, Lariboisière Hospital and Université Paris-Diderot, Paris, France.
Corinne VigourouxEndocrinology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, Paris, France.
Jérémie SellamRheumatology Department, Université Paris 06, DHU i2B, AP-HP, Saint-Antoine Hospital, 184, rue du Faubourg Saint-Antoine, 75012, Paris, France. jeremie.sellam@aphp.fr.
Hôpital Saint-Antoine · FRInserm · FRSorbonne Université · FRUniversité Paris Cité · FRAix-Marseille Université · FRAssistance Publique – Hôpitaux de Paris · FRCentre de Recherche Saint-Antoine · FRHôpital Necker-Enfants Malades · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the bone imaging features of lipodystrophies in the largest cohort ever published. MATERIALS AND

methodsWe retrospectively examined bone imaging data in 24 patients with lipodystrophic syndromes. Twenty-two had genetic lipodystrophy: 12/22 familial partial lipodystrophy (FPLD) and 10/22 congenital generalized lipodystrophy (CGL), 8 with AGPAT2-linked CGL1 and 2 with seipin-linked CGL2. Two patients had acquired generalized lipodystrophy (AGL) in a context of non-specific autoimmune disorders. Skeletal radiographs were available for all patients, with radiographic follow-up for two. Four patients with CGL1 underwent MRI, and two of them also underwent CT.

resultsPatients with FPLD showed non-specific degenerative radiographic abnormalities. Conversely, CGL patients showed three types of specific radiographic alterations: diffuse osteosclerosis (in 7 patients, 6 with CGL1 and 1 with CGL2), well-defined osteolytic lesions sparing the axial skeleton (7 CGL1 and 1 CGL2), and pseudo-osteopoikilosis (4 CGL1). Pseudo-osteopoikilosis was the sole bone abnormality observed in one of the two patients with AGL. Osteolytic lesions showed homogeneous low signal intensity (SI) on T1-weighted and high SI on T2-weighted MR images. Most of them were asymptomatic, although one osteolytic lesion resulted in a spontaneous knee fracture and secondary osteoarthritis in a patient with CGL1. MRI also showed diffuse fatty bone marrow alterations in patients with CGL1, with intermediate T1 and high T2 SI, notably in radiographically normal areas.

conclusionsThe three types of peculiar imaging bone abnormalities observed in generalized lipodystrophic syndromes (diffuse osteosclerosis, lytic lesions and/or pseudo-osteopoikilosis) may help clinicians with an early diagnosis in pauci-symptomatic patients.

Indexed as

AcyltransferasesAdolescentAdultAgedBone and BonesChildChild, PreschoolChorionic GonadotropinDiagnosis, DifferentialFemaleGenetic Predisposition to DiseaseHumansLipodystrophy, Congenital GeneralizedMaleMiddle AgedOsteosclerosis2-acylglycerophosphate acyltransferaseAcyltransferasesChorionic GonadotropinBone marrow fat replacementLipodystrophic syndromeLytic lesionOsteosclerosisPseudo-osteopoikilosis

Identifiers

PMID27631079
OpenAlexW2508850909

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Registered trials

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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.