Evidence map›Paper›PMID 30284005›Full record

ReviewPediatric radiology2019

Differential diagnosis of perinatal hypophosphatasia: radiologic perspectives.

Amaka C Offiah, Jerry Vockley, Craig F Munns, Jun Murotsuki

Open access · bronzeAbstract readReview
In one paragraph

Review in Pediatric radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Revisiting the Genetics of Hypophosphatasia.Journal of inherited metabolic disease · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Proposed diagnostic criteria for the diagnosis of hypophosphatasia in children and adolescents: results from the HPP International Working Group.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Review
  9. Article
  10. Article
  11. Proposing a clinical algorithm for better diagnosis of hypophosphatasia in resource-limiting situations.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Review
  12. Article
  13. Prenatal enzyme replacement therapy forRegenerative therapy · 2021
    Article
  14. TNAP as a New Player in Chronic Inflammatory Conditions and Metabolism.International journal of molecular sciences · 2021
    Review
  15. Treatment of hypophosphatasia.Wiener medizinische Wochenschrift (1946) · 2020
    Article
  16. Article
  17. Article
  18. Imaging studies used as aid in the diagnosis of cleidocranial dysplasia. A review.Revista cientifica odontologica (Universidad Cientifica del Sur)
    Review
  19. Spine radiograph in dysplasias: A pictorial essay.The Indian journal of radiology & imaging
    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 at 4 institutions in 4 countries.

Amaka C OffiahAcademic Unit of Child Health, Sheffield Children's NHS Foundation Trust, University of Sheffield, Western Bank, Sheffield, S10 2TH, UK. a.offiah@sheffield.ac.uk.ORCID http://orcid.org/0000-0001-8991-5036
Jerry VockleySchool of Medicine and Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA, USA.
Craig F MunnsThe Children's Hospital at Westmead, Westmead, NSW, Australia.
Jun MurotsukiAoba Ward, Miyagi Children's Hospital, Sendai, Miyagi Prefecture, Japan.
Miyagi Children's Hospital · JPSheffield Children's NHS Foundation Trust · GBThe University of Sydney · AUUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perinatal hypophosphatasia (HPP) is a rare, potentially life-threatening, inherited, systemic metabolic bone disease that can be difficult to recognize in utero and postnatally. Diagnosis is challenging because of the large number of skeletal dysplasias with overlapping clinical features. This review focuses on the role of fetal and neonatal imaging modalities in the differential diagnosis of perinatal HPP from other skeletal dysplasias (e.g., osteogenesis imperfecta, campomelic dysplasia, achondrogenesis subtypes, hypochondrogenesis, cleidocranial dysplasia). Perinatal HPP is associated with a broad spectrum of imaging findings that are characteristic of but do not occur in all cases of HPP and are not unique to HPP, such as shortening, bowing and angulation of the long bones, and slender, poorly ossified ribs and metaphyseal lucencies. Conversely, absent ossification of whole bones is characteristic of severe lethal HPP and is associated with very few other conditions. Certain features may help distinguish HPP from other skeletal dysplasias, such as sites of angulation of long bones, patterns of hypomineralization, and metaphyseal characteristics. In utero recognition of HPP allows for the assembly and preparation of a multidisciplinary care team before delivery and provides additional time to devise treatment strategies.

Indexed as

Diagnosis, DifferentialFemaleHumansHypophosphatasiaInfant, NewbornPregnancyPrenatal DiagnosisComputed tomographyHypophosphatasiaMetabolic bone diseasePerinatalRadiographySkeletal dysplasiaUltrasound

Identifiers

PMID30284005
PMCPMC6313373
OpenAlexW2895102200

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.