Evidence map›Paper›PMID 29180348›Full record

ArticleEndocrine connections2017

Phenotype-genotype spectrum of AAA syndrome from Western India and systematic review of literature.

Hiren Patt, Katrin Koehler, Sailesh Lodha, Swati Jadhav, Chaitanya Yerawar, Angela Huebner, Kunal Thakkar, Sneha Arya, Sandhya Nair, Manjunath Goroshi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  5. Double 'A' phenotypes with mineralocorticoid deficiency: A rare presentation of Allgrove syndrome.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
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  17. Article
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  19. Article
  20. A Novel Variant in Triple A Syndrome.Acta endocrinologica (Bucharest, Romania : 2005)
    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

15 authors at 3 institutions in 2 countries.

Hiren PattDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Katrin KoehlerDepartment of PaediatricsUniversity Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Sailesh LodhaEternal HospitalJaipur, Rajasthan, India.
Swati JadhavDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India drswatijadhav1980@gmail.com.
Chaitanya YerawarDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Angela HuebnerDepartment of PaediatricsUniversity Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Kunal ThakkarDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Sneha AryaDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Sandhya NairDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Manjunath GoroshiDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Hosahithlu GaneshDepartment of EndocrinologyAJ Institute of Medical sciences, Mangalore, India.
Vijaya SarathiDepartment of EndocrinologyVydehi Institute of Medical Sciences and Research Center, Bengaluru, India.
Anurag LilaDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Tushar BandgarDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Nalini ShahDepartment of EndocrinologySeth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra, India.
Institute of Medical Sciences · INTU Dresden · DEEternal Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study genotype-phenotype spectrum of triple A syndrome (TAS).

methodsRetrospective chart analysis of Indian TAS patients (cohort 1,

resultsMedian age at presentation was 4.75 years (range: 4-10) and 5 years (range: 1-42) for cohorts 1 and 2, respectively. Alacrima, adrenal insufficiency (AI), achalasia and neurological dysfunction (ND) were seen in 8/8, 8/8, 7/8 and 4/8 patients in cohort 1, and in 99, 91, 93 and 79% patients in cohort 2, respectively. In both cohorts, alacrima was present since birth while AI and achalasia manifested before ND. Mineralocorticoid deficiency (MC) was uncommon (absent in cohort 1, 12.5% in cohort 2). In cohort 1, splice-site mutation in exon 1 (p.G14Vfs*45) was commonest, followed by a deletion in exon 8 (p.S255Vfs*36). Out of 65 mutations in cohort 2, 14 were recurrent and five exhibited regional clustering. AI was more prevalent, more often a presenting feature, and was diagnosed at younger age in T group (those with truncating mutations) as compared to NT (non-truncating mutations) group. ND was more prevalent, more common a presenting feature, with later age at onset in NT as compared to T group.

conclusionClinical profile of our patients is similar to that of patients worldwide. Alacrima is the earliest and most consistent finding. MC deficiency is uncommon. Some recurrent mutations show regional clustering. p.G14Vfs*45 and p.S255Vfs*36 account for majority of

Indexed as

AAAS geneALADINAllgrove syndromeprimary adrenal insufficiencytriple A syndrome

Identifiers

PMID29180348
PMCPMC5705786
OpenAlexW2771018153

What OpenQuestion holds

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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.