Evidence map›Paper›PMID 30278795›Full record

ArticleThe Journal of international medical research2019

Clinical characteristics and prognosis of idiopathic pulmonary hemosiderosis in pediatric patients.

Yajun Zhang, Fenglan Luo, Nini Wang, Yue Song, Yuhong Tao

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Idiopathic pulmonary hemosiderosis: A pediatric case report.Respiratory medicine case reports · 2025
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  6. Observational
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  15. Diffuse alveolar hemorrhage in children with trisomy 21.Pediatric rheumatology online journal · 2021
    Review
  16. Review
  17. Article
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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

5 authors at 1 institution in 1 country.

Yajun Zhang1 Department of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan Province, China.
Fenglan Luo1 Department of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan Province, China.
Nini Wang1 Department of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan Province, China.
Yue Song1 Department of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan Province, China.
Yuhong Tao1 Department of Pediatrics, West China Second University Hospital, Sichuan University, Sichuan Province, China.ORCID https://orcid.org/0000-0001-8074-4170
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to analyze the clinical characteristics and prognosis of pediatric idiopathic pulmonary hemosiderosis (IPH).

methodsPediatric IPH cases that were diagnosed at West China Second University Hospital, Sichuan University between 1996 and 2017 were reviewed. Follow-up data from 34 patients were collected.

resultsA total of 107 patients were included (42 boys and 65 girls). The median age was 6 years at diagnosis. The main manifestations of the patients were as follows: anemia (n = 100, 93.45%), cough (n = 68, 63.55%), hemoptysis (n = 61, 57%), fever (n = 23, 21.5%), and dyspnea (n = 23, 21.5%). There were relatively few pulmonary signs. The positive rates of hemosiderin-laden macrophages in sputum, gastric lavage fluid, and bronchoalveolar lavage fluid were 91.66%, 98.21%, and 100%, respectively. Seventy-nine patients were misdiagnosed. A total of 105 patients were initially treated with glucocorticoids, among whom 102 survived and three died. Among the followed up patients, two died and 32 survived, among whom 10 presented with recurrent episodes.

conclusionsThe classic triad of pediatric IPH is not always present. The rates of misdiagnosis and recurrence of IPH are high. Early recognition and adequate immunosuppressive therapy are imperative for improving prognosis of IPH.

Indexed as

AdolescentAnemiaAnti-Inflammatory AgentsBronchoalveolar Lavage FluidChildChild, PreschoolCoughDiagnostic ErrorsDyspneaFemaleFeverGastric LavageGlucocorticoidsHemoptysisHemosiderosisHemosiderosis, PulmonaryAnti-Inflammatory AgentsGlucocorticoidschildrendiffuse alveolar hemorrhageidiopathicimmunosuppressive therapyiron deficiency anemiaprognosisPulmonary hemosiderosis

Identifiers

PMID30278795
PMCPMC6384493
OpenAlexW2895689462

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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.