Evidence map›Paper›PMID 30002216›Full record

ArticleBMJ case reports2018

A challenging case of primary amenorrhoea.

Vijaya Sarathi, Ramesh Reddy, Sridevi Atluri, Channabasappa Shivaprasad

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

4 authors.

Vijaya SarathiEndocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Ramesh ReddyGeneral Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Sridevi AtluriEndocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
Channabasappa ShivaprasadEndocrinology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The differential diagnosis of a girl presenting with primary amenorrhoea includes numerous conditions. Often, patients of 46XY disorder of sex development (DSD) are reared as girl and present with primary amenorrhoea. Their further evaluation to reach the final diagnosis is often a great challenge. In this article, we report a challenging case of 46XY DSD presented with primary amenorrhoea. Patient had spontaneous breast development which initially confused the diagnosis to complete androgen insensitivity syndrome. However, low testosterone suggested against this possibility and further evaluation revealed hormonal findings consistent with 17α hydroxylase/17,20 lyase (CYP17A1) deficiency. Patient had 46XY karyotype and in consistence with hormonal findings patient was found to have a likely pathogenic homozygous c.1345C>T (p.Arg449Cys) variation in exon 8 of

Indexed as

AmenorrheaAndrogen-Insensitivity SyndromeDiagnosis, DifferentialDiagnostic ErrorsDisorder of Sex Development, 46,XYFemaleHumansMaleSteroid 17-alpha-HydroxylaseYoung AdultCYP17A1 protein, humanSteroid 17-alpha-Hydroxylaseadrenal disordersendocrinology

Identifiers

PMID30002216
PMCPMC6047692

What OpenQuestion holds

Textmetadata
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.