Evidence map›Paper›PMID 31781092›Full record

ArticleFrontiers in immunology2019

Complete Multilineage CD4 Expression Defect Associated With Warts Due to an Inherited Homozygous CD4 Gene Mutation.

Rosa Anita Fernandes, Martin Perez-Andres, Elena Blanco, Maria Jara-Acevedo, Ignacio Criado, Julia Almeida, Vitor Botafogo, Ines Coutinho, Artur Paiva, Jacques J M van Dongen and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 25% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. The Hitchhiker Guide to CD4Frontiers in immunology · 2021
    Pooled it
  3. Human genetics of Whipple's disease.Current opinion in rheumatology · 2025
    Review
  4. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
    Review
  5. Article
  6. Helper T cell immunity in humans with inherited CD4 deficiency.The Journal of experimental medicine · 2024
    Article
  7. Article
  8. Review
  9. Review
  10. Infections in the monogenic autoimmune syndrome APECED.Current opinion in immunology · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. 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 7 institutions in 3 countries.

Rosa Anita FernandesAllergy and Clinical Immunology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Martin Perez-AndresDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Elena BlancoDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Maria Jara-AcevedoInstitute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain.
Ignacio CriadoDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Julia AlmeidaDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Vitor BotafogoDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Ines CoutinhoDermatology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Artur PaivaFlow Cytometry Unit-Clinical Pathology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Jacques J M van DongenDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands.
Alberto OrfaoDepartment of Medicine, Cancer Research Centre (IBMCC, USAL-CSIC), Cytometry Service (NUCLEUS), University of Salamanca (USAL), Salamanca, Spain.
Emilia FariaAllergy and Clinical Immunology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Hospitais da Universidade de Coimbra · PTCentro de Investigación Biomédica en Red de Cáncer · ESCentre for Biomedical Network Research on Rare Diseases · ESInstituto de Investigación Biomédica de Salamanca · ESInstituto de Salud Carlos III · ESLeiden University Medical Center · NLUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic T-CD4 lymphocytopenia (ICL) is a rare and heterogeneous syndrome characterized by opportunistic infections due to reduced CD4 T-lymphocytes (<300 cells/μl or <20% T-cells) in the absence of HIV infection and other primary causes of lymphopenia. Molecular testing of ICL has revealed defects in genes not specific to CD4 T-cells, with pleiotropic effects on other cell types. Here we report for the first time an absolute CD4 lymphocytopenia (<0.01 CD4

Indexed as

MutationCD4 AntigensCD4-Positive T-LymphocytesCell LineageConsanguinityCytotoxicity, ImmunologicDendritic CellsFemaleGenes, RecessiveHomozygoteHumansImmunity, HumoralImmunity, InnateImmunophenotypingMaleMiddle AgedCD4 AntigensCD4CD4 lymphopeniadouble-negative T-cells (DNTs)idiopathic CD4 lymphocytopeniawarts

Identifiers

PMID31781092
PMCPMC6856949
OpenAlexW2988697527

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.