Evidence map›Paper›PMID 31434665›Full record

ArticleBMJ case reports2019

Recognition and management of congenital ichthyosis in a low-income setting.

Anja Saso, Benjamin Dowsing, Karen Forrest, Mary Glover

Abstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

4 authors.

Anja SasoAcademic Paediatrics, Imperial College London, London, UK.
Benjamin DowsingVaccines and Immunity Theme, MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Banjul, The Gambia.
Karen ForrestClinical Services Department, MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Banjul, The Gambia.
Mary GloverPaediatric Dermatology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

We report the case of a 3-week old girl in The Gambia who presented to hospital with an undiagnosed skin disorder evolving since birth. Using telemedicine to seek specialist dermatology advice abroad, she was diagnosed with and managed for suspected congenital lamellar ichthyosis. Poor early recognition and limited resources, for both acute and chronic care, created significant challenges to optimal management; these were overcome, in part, by adopting a common sense, back-to-basics approach to treatment and by empowering the parents to take ownership of their infant's daily skin and eye care. This case highlights key global health issues associated with managing chronic, often debilitating, paediatric dermatological conditions in a low-income setting; namely, poor access to important diagnostic tools and medications, lack of experience and expertise in the management of severe skin disease and its associated complications, absence of long-term community support, alternative health beliefs and risk of sociocultural stigma.

Indexed as

TelemedicineAnti-Bacterial AgentsEmollientsFemaleGambiaHumansIchthyosis, LamellarInfantInterdisciplinary CommunicationOfloxacinParentsPatient Education as TopicSkin CareSocial StigmaTreatment OutcomeUnited KingdomAnti-Bacterial AgentsEmollientsOfloxacincongenital disordersdermatologyglobal healthophthalmologypaediatrics

Identifiers

PMID31434665
PMCPMC6706671

What OpenQuestion holds

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LicenceCC BY-NC
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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.