Evidence map›Paper›PMID 30848473›Full record

ArticleIndian journal of pediatrics2019

Citrullinemia Type 1: Behavioral Improvement with Late Liver Transplantation.

Aashika Janwadkar, Nikhil Shirole, Aabha Nagral, Rochana Bakshi, Suresh Vasanth, Abhijit Bagde, Vijay Yewale, Darius Mirza

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In one paragraph

Article in Indian journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
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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

8 authors.

Aashika JanwadkarDepartment of Gastroenterology, Apollo Hospitals, Navi Mumbai, India.
Nikhil ShiroleDepartment of Gastroenterology, Apollo Hospitals, Navi Mumbai, India.
Aabha NagralDepartment of Gastroenterology and Hepatology and Liver Transplantation, Apollo Hospitals, 7 Sneha Sagar, Prabhanagar, Prabhadevi, Mumbai, 400025, India. aabhanagral@gmail.com.ORCID 0000-0003-0005-2508
Rochana BakshiDepartment of Anaesthesia, Apollo Hospitals, Navi Mumbai, India.
Suresh VasanthDepartment of Anaesthesia, Apollo Hospitals, Navi Mumbai, India.
Abhijit BagdeDepartment of Pediatrics and Pediatric Intensive Care, Apollo Hospitals, Navi Mumbai, India.
Vijay YewaleDepartment of Pediatrics, Apollo Hospitals, Navi Mumbai, India.
Darius MirzaDepartment of Hepato-pancreato-biliary Surgery and Liver Transplantation, Apollo Hospitals, Navi Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Citrullinemia Type 1 (also known as classic citrullinemia) is a rare autosomal recessive urea cycle disorder due to reduced activity of argininosuccinate synthetase 1; characterized by hyperammonemia leading to neurological damage. The authors report a case of an 8-y boy who was diagnosed with Citrullinemia Type 1 at birth which was anticipated prenatally due to family history. His diagnosis was confirmed as a homozygous mutation (Exon 15: c.1168G > A (p.G390R)) of ASS gene. Inspite of being on a protein-free diet and ammonia scavenging treatment; the patient developed recurrent episodes of encephalopathy and seizures; complicated with behavioral issues. The patient underwent living related liver-transplantation from his mother (heterozygous carrier of the same mutation). Peri-transplant management of ammonia and plasma amino acid levels is challenging and has been highlighted. It is important to consider liver transplantation as it corrects the genetic deficiency of ASS resulting in the reversal of neuro-behavioral changes, as was seen in index patient.

Indexed as

Liver TransplantationAmino AcidsAmmoniaArgininosuccinate SynthaseChildCitrullinemiaExonsHeterozygoteHumansHyperammonemiaMaleMutationSeizuresAmino AcidsAmmoniaArgininosuccinate SynthaseArginosuccinate synthetaseHyperammonemiaLiving donor liver transplantationMetabolic liver diseaseUrea cycle defect

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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.