Evidence map›Paper›PMID 32535845›Full record

ReviewClinical rheumatology2020

Two cases of ADA2 deficiency presenting as childhood polyarteritis nodosa: novel ADA2 variant, atypical CNS manifestations, and literature review.

Sara Ganhão, Graça Barros Loureiro, Diana Rita Oliveira, Rúben Dos-Reis-Maia, Francisca Aguiar, Rita Quental, Carla Moura, João Luís Barreira, Mariana Rodrigues, Iva Brito

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Cutaneous vasculitis in autoinflammatory diseases.The Journal of dermatology · 2024
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Widening the Neuroimaging Features of Adenosine Deaminase 2 Deficiency.AJNR. American journal of neuroradiology · 2021
    Article
  10. Advances in cutaneous vasculitis research and clinical care.Annals of translational medicine · 2021
    Review
  11. 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

10 authors.

Sara GanhãoRheumatology Department, Centro Hospitalar e Universitário de São João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. sganhaods@gmail.com.ORCID http://orcid.org/0000-0001-7892-8659
Graça Barros LoureiroPediatrics Department, Centro Hospitalar Entre Douro e Vouga, Santa Maria da Feira, Portugal.
Diana Rita OliveiraPediatrics Department, Hospital de Braga, Braga, Portugal.
Rúben Dos-Reis-MaiaNeuroradiology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.
Francisca AguiarYoung Adult and Pediatric Rheumatology Unit, Centro Hospitalar e Universitário do Hospital de São João, Porto, Portugal.
Rita QuentalDepartment of Medical Genetics, Centro Hospitalar e Universitário de São João, Porto, Portugal.
Carla MouraDepartment of Medical Genetics, Centro Hospitalar e Universitário de São João, Porto, Portugal.
João Luís BarreiraPediatric Nephrology Unit, Centro Hospitalar e Universitário de São João, Porto, Portugal.
Mariana RodriguesYoung Adult and Pediatric Rheumatology Unit, Centro Hospitalar e Universitário do Hospital de São João, Porto, Portugal.
Iva BritoYoung Adult and Pediatric Rheumatology Unit, Centro Hospitalar e Universitário do Hospital de São João, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deficiency of adenosine deaminase 2 (DADA2) is an autosomal recessive disease resulting from loss-of-function pathogenic variants in ADA2 gene, which might resemble polyarteritis nodosa (PAN). The authors present two pediatric cases of ADA2 deficiency with phenotypic manifestations of PAN, including an unusual presentation with spinal cord ischemia. Also described is an assessment of ADA2 activity and gene expression profiling with description of a previously unreported homozygous variant, c.1226C > A (p.(Pro409His)), detected in a patient with consanguineous parents, confirmed by near-absent ADA2 plasma enzymatic activity. The authors suggest to first obtain enzymatic activity, whenever DADA2 is suspected, before proceeding to genetic testing, due to its excellent cost-effective results. Moreover, physicians must be aware of this monogenic disorder, especially in the case of early-onset PAN-like manifestations, having a family member with similar manifestations or having consanguineous parents suggesting an autosomal recessive inheritance pattern. Given the multi-organ involvement, recognizing the diverse manifestations is a crucial step towards timely diagnosis and management of this potentially fatal but often treatable syndrome.

Indexed as

AgammaglobulinemiaPolyarteritis NodosaSevere Combined ImmunodeficiencyAdenosine DeaminaseChildHumansIntercellular Signaling Peptides and ProteinsADA2 protein, humanAdenosine DeaminaseIntercellular Signaling Peptides and ProteinsADA2Adenosine deaminase 2Auto-inflammationCECR1 geneMonogenic vasculitisNovel mutationPolyarteritis nodosa

Identifiers

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.