Evidence map›Paper›PMID 32634277›Full record

ArticlePediatric blood & cancer2020

Kaposiform lymphangiomatosis treated with multimodal therapy improves coagulopathy and reduces blood angiopoietin-2 levels.

Janet Crane, Jackie Manfredo, Elisa Boscolo, Mara Coyan, Clifford Takemoto, Maxim Itkin, Denise M Adams, Timothy D Le Cras

Open access · greenAbstract readCase Reports
In one paragraph

Article in Pediatric blood & cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. RAS Inhibitor RMC-7977 Blocks Vascular Overgrowth of NRASJournal of cellular and molecular medicine · 2026
    Article
  2. Article
  3. Article
  4. Complex lymphatic anomalies.Pediatric radiology · 2025
    Review
  5. Article
  6. Review
  7. NRASPediatric blood & cancer · 2024
    Article
  8. Article
  9. Capillary malformations.The Journal of clinical investigation · 2024
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. NRASAngiogenesis · 2022
    Article
  15. Article
  16. Osteopathy in Complex Lymphatic Anomalies.International journal of molecular sciences · 2022
    Review
  17. Kaposiform Lymphangiomatosis: Pathologic Aspects in 43 Patients.The American journal of surgical pathology · 2022
    Article
  18. Article
  19. Sirolimus in the treatment of kaposiform lymphangiomatosis.Orphanet journal of rare diseases · 2021
    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

8 authors at 5 institutions in 1 country.

Janet CraneDivision of Endocrinology, Department of Pediatrics, Center for Musculoskeletal Research, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.
Jackie ManfredoDivision of Endocrinology, Department of Pediatrics, Center for Musculoskeletal Research, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.
Elisa BoscoloExperimental Hematology Division, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID 0000-0002-6996-0419
Mara CoyanDivision of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID 0000-0003-4088-5045
Clifford TakemotoHematology Department, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-2832-6884
Maxim ItkinCenter for Lymphatic Disorders, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
Denise M AdamsDivision of Hematology/Oncology, Vascular Anomalies Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-2892-5369
Timothy D Le CrasDivision of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID 0000-0001-8538-2703
Cincinnati Children's Hospital Medical Center · USJohns Hopkins University · USBoston Children's Hospital · USSt. Jude Children's Research Hospital · USUniversity of Pennsylvania · US

Funding

Venous Malformations (VM): A Murine Model to Identify Therapies to Target AberranR01HL117952 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI BOSCOLO, ELISA · 2013 to 2025
$4.9M
Role of glucocorticoid-suppression of preosteoclast PDGF-BB in skeletal angiogenesisR01AR078793 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CRANE, JANET · 2021 to 2025
$1.8M
Angiogenic Potential in Children with Glucocorticoid-Induced OsteoporosisR03AR073939 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CRANE, JANET · 2018 to 2019
$164k
NHLBI NIH HHS R01 HL117952NIAMS NIH HHS R01 AR078793NIAMS NIH HHS R03 AR073939
6 · The paper itself

Abstract

Kaposiform lymphangiomatosis (KLA) is a rare, life-threatening congenital lymphatic malformation. Diagnosis is often delayed due to complex indistinct symptoms. Blood angiopoietin-2 (ANG2) levels are elevated in KLA and may be useful as a biomarker to monitor disease status. We report a 7-year-old male child with easy bruising, inguinal swelling, and consumptive coagulopathy, diagnosed with KLA. A multimodal treatment regimen of prednisone, sirolimus, vincristine, and adjunctive zoledronate was used. Plasma ANG2 levels were highly elevated at diagnosis but decreased during treatment. The patient showed significant clinical improvement over a 38-month period and normalization of ANG2 levels correlated with resolution of the coagulopathy.

Indexed as

Angiopoietin-2ChildCombined Modality TherapyHemangioendotheliomaHumansKasabach-Merritt SyndromeMalePrognosisSarcoma, KaposiThrombosisAngiopoietin-2ANGPT2 protein, humanangiogenesisvascular malformationsvincristine

Identifiers

PMID32634277
PMCPMC8554683
OpenAlexW3041162073

What OpenQuestion holds

Textmetadata
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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.