Evidence map›Paper›PMID 29777306›Full record

ArticleEuropean journal of pediatrics2018

Respiratory manifestations in LPS-responsive beige-like anchor (LRBA) protein-deficient patients.

Oded Shamriz, Bella Shadur, Adeeb NaserEddin, Irina Zaidman, Natalia Simanovsky, Orly Elpeleg, Eitan Kerem, Joel Reiter, Polina Stepensky

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Article in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

9 authors.

Oded ShamrizPediatric Division, Hadassah-Hebrew University Medical Center, POB 12000, Kiryat Hadassah, 91120, Jerusalem, Israel. oded.shamriz@mail.huji.ac.il.ORCID http://orcid.org/0000-0003-3188-2707
Bella ShadurBone Marrow Transplantation Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Adeeb NaserEddinBone Marrow Transplantation Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Irina ZaidmanBone Marrow Transplantation Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Natalia SimanovskyDepartment of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Orly ElpelegMonique and Jacques Roboh Department of Genetic Research, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Eitan KeremDepartment of Pediatrics and Pediatric Pulmonology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Joel ReiterDepartment of Pediatrics and Pediatric Pulmonology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Polina StepenskyBone Marrow Transplantation Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Funding

Discovery and Evaluation of new Combined Immunodeficiency Disease Entities and the ERA-Net ERARE consortium EURO-CID grant DFG WA 1597/4-2
6 · The paper itself

Abstract

Lipopolysaccharide (LPS)-responsive beige-like anchor (LRBA) protein deficiency is a rare syndrome of primary immune deficiency and immune dysregulation. In this study, we sought to summarize our experience with respiratory manifestations in LRBA-deficient patients. We conducted a retrospective analysis of the medical records of LRBA-deficient patients treated at Hadassah-Hebrew University Medical Center, Jerusalem, Israel. Data retrieved included pulmonary workup, disease course, treatment, and outcome. Ten patients were included. Mean age at presentation of LRBA deficiency-related symptoms was 4.65 years (range 3 months-14 years). Respiratory symptoms were noted in six patients and consisted of chronic cough. Computed tomography revealed consolidation in five patients, atelectasis and bronchiectasis in two patients each, and diffuse interstitial lung disease in two additional patients. Respiratory tract cultures yielded a bacterial pathogen in five patients. Seven patients required active therapy: intravenous immunoglobulins (six patients), immunosuppressive drugs (five patients), and one was successfully treated with abatacept. Two patients underwent successful bone marrow transplantation. Mean follow-up period was 4.5 (range 0.4-14.4) years. On their latest examination, seven patients had no respiratory symptoms.

conclusionPulmonary manifestations are common in LRBA deficiency. Respiratory characteristics in LRBA-deficient patients should be investigated, monitored, and treated from the time of diagnosis. What is Known: • Lipopolysaccharide-responsive beige-like anchor (LRBA) deficiency is a syndrome of primary immune deficiency and immune dysregulation. • Studies concerning the pulmonary characteristics of LRBA-deficient patients are lacking. What is New: • Respiratory manifestations include infections, bronchiectasis, interstitial lung disease, thoracic lymphadenopathy, and clubbing. • Awareness to pulmonary morbidity in LRBA-deficient patients and involvement of a pulmonologist in the workup and clinical decision-making is important. • Respiratory characteristics in LRBA-deficient patients should be investigated, monitored, and treated from a young age.

Indexed as

Adaptor Proteins, Signal TransducingAdolescentBronchiectasisChildChild, PreschoolFemaleFollow-Up StudiesHumansImmunologic Deficiency SyndromesInfantLung Diseases, InterstitialMalePulmonary AtelectasisRetrospective StudiesAdaptor Proteins, Signal TransducingLRBA protein, humanLPS-responsive beige-like anchor proteinLRBALungPrimary immune deficiencyPulmonary

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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.