Evidence map›Paper›PMID 30498646›Full record

ArticleCureus2018

Lafora Disease Masquerading as Hepatic Dysfunction.

Faisal Inayat, Waqas Ullah, Hanan T Lodhi, Zarak H Khan, Ghulam Ilyas, Nouman Safdar Ali, Hafez Mohammad A Abdullah

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 2 countries.

Faisal InayatInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Waqas UllahInternal Medicine, Abington Jefferson Health, Miami Beach, USA.
Hanan T LodhiInfectious Diseases, University of Nebraska Medical Center, Omaha, USA.
Zarak H KhanInternal Medicine, St. Mary Mercy Hospital, Livonia, USA.
Ghulam IlyasPathology, The State University of New York Downstate Medical Center, New York, USA.
Nouman Safdar AliInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Hafez Mohammad A AbdullahInternal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Jefferson Hospital · USUniversity of South Dakota · USAllama Iqbal Medical College · PKMercy Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lafora disease is fatal intractable progressive myoclonic epilepsy. It is frequently characterized by epileptic seizures, difficulty walking, muscle spasms, and dementia in late childhood or adolescence. We chronicle here an unusual case of an asymptomatic young male soccer player who presented with elevated liver enzymes. Neurological examination was unremarkable. The diagnostic workup for hepatitis, infectious etiologies, autoimmune disorders, hemochromatosis, Wilson's disease, alpha-1 antitrypsin deficiency, and other related diseases was inconclusive. He subsequently underwent an uneventful percutaneous liver biopsy. Based on the pathognomonic histopathological findings, Lafora disease was considered the likely etiology. The present study is a unique illustration of this rare disorder initially manifesting with abnormal liver enzymes. It underscores the importance of clinical suspicion of Lafora disease in cases with unexplained hepatic dysfunction. Prompt liver biopsy and genetic testing should be performed to antedate the onset of symptoms in these patients.

Indexed as

hepatic dysfunctionlafora diseaseunusual presentation

Identifiers

PMID30498646
PMCPMC6257626
OpenAlexW2888361560

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.