Evidence map›Paper›PMID 33526094›Full record

ArticleJournal of medical case reports2021

Hydroxychloroquine, a successful treatment for lung disease in ABCA3 deficiency gene mutation: a case report.

Waleed Shaaban, Majeda Hammoud, Ali Abdulraheem, Yasser Yahia Elsayed, Nawal Alkazemi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Old and emerging therapies for childhood interstitial lung disease (chILD): a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Genetic susceptibility to interstitial lung disease: a case ofQuantitative imaging in medicine and surgery · 2025
    Article
  3. Article
  4. Novel Compound Heterozygous Mutation of theJournal of clinical medicine · 2025
    Article
  5. Interstitial lung disease in the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  6. Article
  7. Article
  8. Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022
    Article
  9. Article
  10. 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

5 authors at 1 institution in 1 country.

Waleed ShaabanNeonatology Department, Maternity Hospital, Kuwait, Kuwait.
Majeda HammoudPaediatrics Department, Faculty of Medicine, Kuwait University, Kuwait, Kuwait. majeda.hammoud@ku.edu.kw.
Ali AbdulraheemNeonatology Department, Maternity Hospital, Kuwait, Kuwait.
Yasser Yahia ElsayedNeonatology Department, Maternity Hospital, Kuwait, Kuwait.
Nawal AlkazemiNeonatology Department, Maternity Hospital, Kuwait, Kuwait.
Kuwait University · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary surfactant is a complex mixture of lipids and specific proteins that stabilizes the alveoli at the end of expiration. Mutations in the gene coding for the triphosphate binding cassette transporter A3 (ABCA3), which facilitates the transfer of lipids to lamellar bodies, constitute the most frequent genetic cause of severe neonatal respiratory distress syndrome and chronic interstitial lung disease in children. Hydroxychloroquine can be used as an effective treatment for this rare severe condition. CASE PRESENTATION: We report a late preterm Bosnian baby boy (36 weeks) who suffered from a severe form of respiratory distress syndrome with poor response to intensive conventional management and whole exome sequencing revealed homozygous ABCA3 mis-sense mutation. The baby showed remarkable improvement of the respiratory condition after the initiation of Hydroxychloroquine, Azithromycin and Corticosteroids with the continuation of Hydroxychloroquine as a monotherapy till after discharge from the hospital.

conclusionOutcome in patients with ABCA3 mutations is variable ranging from severe irreversible respiratory failure in early infancy to chronic interstitial lung disease in childhood (ChILD) usually with the need for lung transplantation in many patients surviving this rare disorder. Hydroxychloroquine through its anti-inflammatory effects or alteration of intra-cellular metabolism may have an effect in treating cases of ABCA3 gene mutations.

Indexed as

Lung Diseases, InterstitialRespiratory Distress Syndrome, NewbornATP-Binding Cassette TransportersChildHumansHydroxychloroquineInfantInfant, NewbornMaleMutationABCA3 protein, humanATP-Binding Cassette TransportersHydroxychloroquineABCA3Case reportChILDHydroxychloroquinePulmonary surfactant

Identifiers

PMID33526094
PMCPMC7851913
OpenAlexW3128432335

What OpenQuestion holds

Textmetadata
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.