Evidence map›Paper›PMID 32547619›Full record

ArticleCase reports in medicine2020

Myalgia and Hematuria in Association with Clonidine and Arginine Administration for Growth Hormone Stimulation Tests.

Meghan Glibbery, Adam Fleming, Rahul Chanchlani, Olufemi Abiodun Ajani, Norma Marchetti, Alexa Marr, M Constantine Samaan

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in medicine, 2020. 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
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

7 authors at 3 institutions in 1 country.

Meghan GlibberyDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0003-3911-8260
Adam FlemingDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Rahul ChanchlaniDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0001-9366-3118
Olufemi Abiodun AjaniDivision of Neurosurgery, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Norma MarchettiDrug Information Centre, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Alexa MarrDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
M Constantine SamaanDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-6403-4715
McMaster Children's Hospital · CAHamilton Health Sciences · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growth hormone deficiency (GHD) in children has significant impacts on growth and metabolism. Two-agent GH stimulation tests are commonly used to diagnose GHD, and these tests are generally considered safe. We report the case of a 5-year 5-month-old boy with a history of anaplastic ependymoma who underwent GH stimulation testing for growth deceleration using clonidine and arginine. He developed bilateral calf myalgia and gross hematuria within 24 hours of the tests. Myalgia and hematuria resolved spontaneously. Importantly, the literature review and database searches for hematuria identified 6 cases with clonidine and 20 cases with arginine. This case highlights an unusual combination of adverse reactions to clonidine and arginine in children undergoing GH stimulation testing to assess for GHD. Pediatric endocrinologists need to be aware of the potential for these side effects to allow appropriate management, and further studies are needed to clarify the mechanisms and frequency of these side effects. We recommend that patients and families need to be counselled about hematuria as an association of GH testing with these medications.

Identifiers

PMID32547619
PMCPMC7270994
OpenAlexW3030936041

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.