Evidence map›Paper›PMID 33482950›Full record

ArticleThe Permanente journal2020

Acquired Amegakaryocytic Thrombocytopenia Misdiagnosed as Immune Thrombocytopenia: A Case Report.

Arya Mariam Roy, Manojna Konda, George K Sidarous, Dinesh Atwal, Steven A Schichman, Anuradha Kunthur

Open access · greenAbstract readCase Reports
In one paragraph

Article in The Permanente journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

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  9. Acquired Amegakaryocytic Thrombocytopenia Progressing to Aplastic Anaemia.European journal of case reports in internal medicine · 2022
    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

6 authors at 2 institutions in 1 country.

Arya Mariam RoyJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
Manojna KondaJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
George K SidarousJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
Dinesh AtwalJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
Steven A SchichmanJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
Anuradha KunthurJohn L McClellan Memorial Veterans Hospital, Little Rock, AR.
University of Arkansas for Medical Sciences · USJohn L. McClellan Memorial Veterans Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcquired amegakaryocytic thrombocytopenia (AATP) is a rare bleeding disorder that causes severe thrombocytopenia with preserved hematopoiesis of other cell lineages. Many cases are misdiagnosed and treated as immune thrombocytopenia. CASE PRESENTATION: We report a case of AATP, in a 50-year-old man, that was treated as immune thrombocytopenia for years with no clinical response. The disorder later was diagnosed as AATP after bone marrow biopsy and was successfully treated with cyclosporine. DISCUSSION: The exact mechanism of AATP remains unclear; it is suspected to be an immune-mediated process. Patients with AATP present with severe bleeding and thrombocytopenia, which is usually unresponsive to high-dose corticosteroids. There are no standard treatment guidelines for AATP. Cyclosporine and antithymocyte globulin are found to be effective in some cases. The prompt diagnosis of AATP is vital because it carries high mortality because of excessive bleeding, and it can progress into aplastic anemia or myelodysplastic syndrome.

Indexed as

Purpura, Thrombocytopenic, IdiopathicThrombocytopeniaBone Marrow DiseasesDiagnostic ErrorsHumansMaleMegakaryocytesMiddle AgedPurpura, Thrombocytopenic

Identifiers

PMID33482950
PMCPMC7849287
OpenAlexW3111160930

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.