Evidence map›Paper›PMID 31147407›Full record

ArticleBMJ case reports2019

Unusual presentation of pica in iron-deficiency anaemia associated with primary biliary cholangitis.

Nneoma Kate-Joan Onuorah, Melinda Wayde, Gregory Beck

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 2 institutions in 2 countries.

Nneoma Kate-Joan OnuorahInternal Medicine, Wright State University, Dayton, Ohio, USA.ORCID http://orcid.org/0000-0001-9821-0265
Melinda WaydeGastroenterology, Wright State University, Dayton, Ohio, USA.
Gregory BeckGastroenterology, Wright State University, Dayton, Ohio, USA.
Wright State University · USYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 50-year-old woman presented with worsening fatigue and shortness of breath. For 2 months, she has been having increased craving for unpeeled lemons and was seen in clinic about a month prior to presentation at the emergency room. At that time, she was asymptomatic except for endorsing craving for lemons. Physical exam findings at presentation noted obesity, sinus tachycardia, pallor, mild scleral jaundice and no other stigmata for chronic liver disease. Her labs suggested iron-deficiency anaemia (IDA), elevated liver enzymes and positive antimitochondrial antibody titre. Abdominal ultrasound and CT scan showed mild scarring. She was diagnosed with primary biliary cholangitis with portal hypertension complicated by oesophageal varices and IDA. Interventions included blood transfusion, oesophageal banding and treatment with ursodeoxycholic acid. Her craving for lemons, shortness of breath and fatigue resolved within 1 week. With ongoing outpatient follow-up and oesophageal variceal surveillance, she continues to do well.

Indexed as

PicaAdministration, OralAnemia, Iron-DeficiencyBlood TransfusionCholagogues and CholereticsDiagnosis, DifferentialDigestive System Surgical ProceduresEsophageal and Gastric VaricesFemaleHumansHypertension, PortalIronLiver Cirrhosis, BiliaryMiddle AgedUltrasonographyUrsodeoxycholic AcidCholagogues and CholereticsIronUrsodeoxycholic AcidGI bleedingliver diseasepancreas and biliary tractvarices

Identifiers

PMID31147407
PMCPMC6557326
OpenAlexW2947628459

What OpenQuestion holds

Textmetadata
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.