Evidence map›Paper›PMID 33061764›Full record

ArticleTurk pediatri arsivi2020

Recurrent infections, neurologic signs, low serum uric acid levels, and lymphopenia in childhood: Purine nucleoside phosphorylase deficiency, an emergency for infants.

Necil Kütükçüler, Ezgi Bölük, Nazan Tökmeci, Neslihan Edeer Karaca, Elif Azarsız, Güzide Aksu, Ayça Aykut

Abstract readCase Reports
In one paragraph

Article in Turk pediatri arsivi, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
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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.

Necil KütükçülerDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Ezgi BölükDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Nazan TökmeciDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Neslihan Edeer KaracaDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Elif AzarsızDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Güzide AksuDivision of Pediatric Immunology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey.
Ayça AykutDepartment of Medical Genetics, Ege University Faculty of Medicine, İzmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purine nucleoside phosphorylase deficiency is one of the severe combined immunodeficiencies, which often clinically manifests with recurrent infections, neurologic symptoms and autoimmune diseases, and leads to thymocyte development and peripheral T cell activation defects. It is an immunologic emergency for childhood. In this case series, four cases with purine nucleoside phosphorylase deficiency were evaluated. Recurrent febrile infections and neuromotor developmental retardation were among the presenting symptoms in all cases. Absolute lymphocyte counts and serum uric acid levels were very low, and serum immunoglobulin levels were normal or slightly lower in all cases. The genetic molecular analysis of four patients revealed three predefined mutations in the purine nucleoside phosphorylase gene. Three of the four patients were lost due to sepsis during follow-up, and one patient was lost due to veno-occlusive disease in the post-hematopoietic stem cell transplantation period. We presented these cases to emphasize that purine nucleoside phosphorylase deficiency should always be considered in patients with frequent recurrent infections, neurologic findings, low serum uric acid levels, and lymphopenia.

Indexed as

Combined immunodeficiencylow serum uric acid levelspurine nucleoside phosphorylase deficiency

Identifiers

PMID33061764
PMCPMC7536453

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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.