Evidence map›Paper›PMID 31240151›Full record

ArticleJIMD reports2019

Beta-ketothiolase deficiency: A case with unusual presentation of nonketotic hypoglycemic episodes due to coexistent probable secondary carnitine deficiency.

Morteza Alijanpour, Hideo Sasai, Elsayed Abdelkreem, Yasuhiko Ago, Shima Soleimani, Leila Moslemi, Seiji Yamaguchi, Masomeh Rezapour, Mohammad T Hakimi, Hideki Matsumoto and 1 more

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In one paragraph

Article in JIMD reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Morteza AlijanpourDepartment of Pediatrics Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences Babol IR Iran.
Hideo SasaiDepartment of Pediatrics, Graduate School of Medicine Gifu University Gifu Japan.
Elsayed AbdelkreemDepartment of Pediatrics, Graduate School of Medicine Gifu University Gifu Japan.
Yasuhiko AgoDepartment of Pediatrics, Graduate School of Medicine Gifu University Gifu Japan.
Shima SoleimaniBabol Razi Pathobiology Laboratory Babol IR Iran.
Leila MoslemiDepartment of Pediatrics Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences Babol IR Iran.
Seiji YamaguchiDepartment of Pediatrics Shimane University School of Medicine Izumo Japan.
Masomeh RezapourSchool of Traditional Medicine, Traditional Medicine and History of Medical Sciences Research Center, Health Research Institute, Babol University of Medical Sciences Babol IR Iran.
Mohammad T HakimiBabol Razi Pathobiology Laboratory Babol IR Iran.
Hideki MatsumotoDepartment of Pediatrics, Graduate School of Medicine Gifu University Gifu Japan.
Toshiyuki FukaoDepartment of Pediatrics, Graduate School of Medicine Gifu University Gifu Japan.
Babol University of Medical Sciences · IRGifu University · JPShimane University · JPSohag University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Beta-ketothiolase (T2, mitochondrial acetoacetyl-CoA thiolase) deficiency is an autosomal recessive disorder of isoleucine catabolism and ketone body metabolism that is characterized by increased urinary excretion of 2-methylacetoacetate, 2-methyl-3-hydroxybutyrate, and tiglylglycine. Most patients with T2 deficiency develop their first severe ketoacidotic events between 5 and 24 months of age. We encountered a case of T2 deficiency who developed the first hypoglycemic crisis without ketosis during her neonatal period and repeated such nonketotic hypoglycemic crisis during her infancy and early childhood. This is a very atypical clinical phenotype in T2 deficiency. We finally realized that she also has severe carnitine deficiency which might suppress beta-oxidation resulting in nonketotic hypoglycemia. After carnitine supplementation, she actually developed episodes with ketonuria. Her carnitine deficiency was probably a secondary deficiency which is rare in T2 deficiency but if present, may modify the clinical manifestation of T2 deficiency from ketoacidotic events to hypoketotic hypoglycemic events.

Indexed as

beta‐ketothiolase deficiencycase reporthypoglycemiamitochondrial acetoacetyl‐CoA thiolasesecondary carnitine deficiencyT2

Identifiers

PMID31240151
PMCPMC6498828
OpenAlexW2963496699

What OpenQuestion holds

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LicenceCC BY
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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.