Evidence map›Paper›PMID 33473334›Full record

ArticleJIMD reports2021

Two cases of carbonic anhydrase VA deficiency-An ultrarare metabolic decompensation syndrome presenting with hyperammonemia, lactic acidosis, ketonuria, and good clinical outcome.

Ashish Marwaha, Judy Ibrahim, Taylor Rice, Nadia Hamwi, Charles Anthony Rupar, David Cresswell, Chitra Prasad, Andreas Schulze

Open access · goldAbstract readCase Reports
In one paragraph

Article in JIMD reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  6. Carbonic anhydrase VA deficiency due to a novelMolecular genetics and metabolism reports · 2025
    Article
  7. Article
  8. A founder mutation inJIMD reports · 2024
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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

8 authors at 5 institutions in 2 countries.

Ashish MarwahaClinical and Metabolic Genetics The Hospital for Sick Children Toronto Ontario Canada.
Judy IbrahimDepartment of Academic Affairs Tawam Hospital Al Ain Abu Dhabi United Arab Emirates.
Taylor RiceSchulich School of Medicine & Dentistry London Ontario Canada.
Nadia HamwiDepartment of Academic Affairs Tawam Hospital Al Ain Abu Dhabi United Arab Emirates.
Charles Anthony RuparDepartment of Biochemistry Western University London Ontario Canada.
David CresswellDepartment of Pediatrics Grand River Hospital Kitchener Ontario Canada.
Chitra PrasadDepartment of Pediatrics Western University London Ontario Canada.
Andreas SchulzeClinical and Metabolic Genetics The Hospital for Sick Children Toronto Ontario Canada.ORCID https://orcid.org/0000-0001-8491-1095
Western University · CATawam Hospital · AEGrand River Hospital · CAHospital for Sick Children · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The combination of neonatal hyperammonemia, lactic acidosis, ketonuria, and hypoglycemia is pathognomonic for carbonic anhydrase VA (CA-VA) deficiency. We present two cases of this rare inborn error of metabolism. Both newborns with South Asian ancestry presented with a metabolic decompensation characterized by hyperammonemia, lactic acidosis and ketonuria; one also had hypoglycemia. Standard metabolic investigations (plasma amino acids, acylcarnitine profile, and urine organic acids) were not indicative of a specific organic aciduria or fatty acid oxidation defect but had some overlapping features with a urea cycle disorder (elevated glutamine, orotic acid, and low arginine). Hyperammonemia was treated initially with nitrogen scavenger therapy and carglumic acid. One patient required hemodialysis. Both have had a favorable long-term prognosis after their initial metabolic decompensation. Genetic testing confirmed the diagnosis of carbonic anhydrase VA (CA-VA) deficiency due to biallelic pathogenic variants in

Indexed as

encephalopathyketonurialactic acidosismetabolic acidosisneonatal hyperammonemia

Identifiers

PMID33473334
PMCPMC7802620
OpenAlexW3089744804

What OpenQuestion holds

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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.