Evidence map›Paper›PMID 33011939›Full record

ArticleJournal of clinical immunology2021

Clinical Spectrum of Ras-Associated Autoimmune Leukoproliferative Disorder (RALD).

Quentin Neven, Cécile Boulanger, Annelyse Bruwier, Maëlle de Ville de Goyet, Isabelle Meyts, Leen Moens, An Van Damme, Bénédicte Brichard

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. IsolatedHaematologica · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Somatic mosaicism in genetic errors of immunity.The Journal of allergy and clinical immunology · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Probable Autoimmune Lymphoproliferative Syndrome with Monogenic Lupus Due to KRAS Mutation.Mediterranean journal of hematology and infectious diseases · 2024
    Article
  19. CD40 induces selective routing of Ras isoforms to subcellular compartments.Journal of cell communication and signaling · 2023
    Article
  20. A Race to the Finish.The New England journal of medicine · 2023
    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 3 institutions in 1 country.

Quentin NevenDepartment of Pediatric Hematology and Oncology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium. neven.quentin@gmail.com.ORCID 0000-0002-1146-5933
Cécile BoulangerDepartment of Pediatric Hematology and Oncology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium.
Annelyse BruwierDepartment of Pediatrics, Grand Hôpital de Charleroi, Charleroi, Belgium.
Maëlle de Ville de GoyetDepartment of Pediatric Hematology and Oncology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium.
Isabelle MeytsLaboratory for Inborn Errors of Immunity, Department of Immunology, Microbiology and Transplantation, University Hospitals Leuven, Leuven, Belgium.
Leen MoensLaboratory for Inborn Errors of Immunity, Department of Immunology, Microbiology and Transplantation, University Hospitals Leuven, Leuven, Belgium.
An Van DammeDepartment of Pediatric Hematology and Oncology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium.
Bénédicte BrichardDepartment of Pediatric Hematology and Oncology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium.
Cliniques Universitaires Saint-Luc · BEKU Leuven · BEGrand Charleroi Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ras-associated autoimmune leukoproliferative disorder (RALD) is a clinical entity initially identified in patients evaluated for an autoimmune lymphoproliferative syndrome (ALPS)-like phenotype. It remains a matter of debate whether RALD is a chronic and benign lymphoproliferative disorder or a pre-malignant condition. We report the case of a 7-year-old girl diagnosed with RALD due to somatic KRAS mutation who progressed to a juvenile myelomonocytic leukemia phenotype and finally evolved into acute myeloid leukemia. The case report prompted a literature review by a search for all RALD cases published in PubMed and Embase. We identified 27 patients with RALD. The male-to-female ratio was 1:1 and median age at disease onset was 2 years (range 3 months-36 years). Sixteen patients (59%) harbored somatic mutations in KRAS and 11 patients (41%) somatic mutations in NRAS. The most common features were splenomegaly (26/27 patients), autoimmune cytopenia (15/16 patients), monocytosis (18/24 patients), pericarditis (6 patients), and skin involvement (4 patients). Two patients went on to develop a hematopoietic malignancy. In summary, the current case documents an additional warning about the long-term risk of malignancy in RALD.

Indexed as

Disease SusceptibilityAdolescentAdultAllelesAutoimmune DiseasesAutoimmune Lymphoproliferative SyndromeAutoimmunityChildChild, PreschoolCombined Modality TherapyDiagnosis, DifferentialDisease ManagementFemaleGenetic Predisposition to DiseaseGenotypeHumansras ProteinsAutoimmunityKRASmalignancyNRASRas-associated autoimmune leukoproliferative disorder

Identifiers

PMID33011939
OpenAlexW3090093785

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.