Evidence map›Paper›PMID 30890598›Full record

ArticleHaematologica2019

Impact of hypertensive emergency and rare complement variants on the presentation and outcome of atypical hemolytic uremic syndrome.

Khalil El Karoui, Idris Boudhabhay, Florent Petitprez, Paula Vieira-Martins, Fadi Fakhouri, Julien Zuber, Florence Aulagnon, Marie Matignon, Eric Rondeau, Laurent Mesnard and 2 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Hypertensive crisis in the critically ill.Annals of intensive care · 2026
    Review
  5. Complement activation in secondary thrombotic microangiopathies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Medical consult: aHUS, TTP? How to distinguish and what to do.Hematology. American Society of Hematology. Education Program · 2023
    Article
  10. Article
  11. Targeting complement in IgA nephropathy.Clinical kidney journal · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Application of C5 inhibitors in glomerular diseases in 2021.Kidney research and clinical practice · 2022
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

12 authors at 4 institutions in 1 country.

Khalil El KarouiService de Néphrologie et Transplantation Rénale, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris, INSERM U955, Créteil khalil.el-karoui@aphp.fr.
Idris BoudhabhayService de Néphrologie et Transplantation Rénale, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris, INSERM U955, Créteil.
Florent PetitprezINSERM, UMR_S 1138, Centre de Recherche des Cordeliers, F-75006, Paris.
Paula Vieira-MartinsAssistance Publique-Hôpitaux de Paris, Laboratoire d'Immunologie, Hôpital Européen Georges Pompidou, Paris.
Fadi FakhouriCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes and Department of Nephrology and immunology, Centre Hospitalier Universitaire de Nantes, Nantes.
Julien ZuberService de Néphrologie et Transplantation Rénale, Hôpital Necker Enfant malades, Assistance Publique-Hôpitaux de Paris, Paris.
Florence AulagnonService de Néphrologie et Transplantation Rénale, Hôpital Necker Enfant malades, Assistance Publique-Hôpitaux de Paris, Paris.
Marie MatignonService de Néphrologie et Transplantation Rénale, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris, INSERM U955, Créteil.
Eric RondeauIntensive Care and Renal Transplant Unit, Assistance Publique-Hôpitaux de Paris, Centre Hospitalier Universitaire de Tenon and Inserm UMR S 1155, Sorbonne University, Paris.
Laurent MesnardIntensive Care and Renal Transplant Unit, Assistance Publique-Hôpitaux de Paris, Centre Hospitalier Universitaire de Tenon and Inserm UMR S 1155, Sorbonne University, Paris.
Jean-Michel HalimiDepartment of Nephrology and Clinical immunology, Centre Hospitalier Universitaire de Tours and EA4245, François Rabelais University, Tours.
Véronique Frémeaux-BacchiAssistance Publique-Hôpitaux de Paris, Laboratoire d'Immunologie, Hôpital Européen Georges Pompidou, Paris veronique.fremeaux-bacchi@aphp.fr.
Inserm · FRHôpital Necker-Enfants Malades · FRAssistance Publique – Hôpitaux de Paris · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A typical hemolytic uremic syndrome (aHUS) is a prototypic thrombotic microangiopathy attributable to complement dysregulation. Hypertensive emergency, characterized by elevation of systolic (>180 mmHg) or diastolic (>120 mmHg) blood pressure together with end-organ damage, can cause thrombotic microangiopathy which may mimic aHUS. We retrospectively evaluated the clinical, biological and complement genetic characteristics of 76 and 61 aHUS patients with and without hypertensive emergency, respectively. Patients with hypertensive emergency-aHUS were more frequently males, with neurological involvement, and a slightly higher hemoglobin level. At least one rare complement variant was identified in 51.3% (39/76) and 67% (41/61) patients with or without hypertensive emergency, respectively (

Indexed as

Genetic VariationAdultAntibodies, Monoclonal, HumanizedAtypical Hemolytic Uremic SyndromeComplement C3Complement Inactivating AgentsEmergenciesFemaleFollow-Up StudiesHumansHypertensionMalePrognosisRetrospective StudiesSurvival RateAntibodies, Monoclonal, HumanizedComplement C3Complement Inactivating Agentseculizumab

Identifiers

PMID30890598
PMCPMC6959192
OpenAlexW2923386909

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.