Evidence map›Paper›PMID 33554204›Full record

ArticleTurkish archives of otorhinolaryngology2020

Acute Presentation of Undiagnosed Hereditary Angioedema of the Larynx: Averting Death.

Nikhil Rajan, Vidhu Sharma, Sourabha Kumar Patro, Amit Goyal

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Turkish archives of otorhinolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

4 authors at 3 institutions in 2 countries.

Nikhil RajanDepartment of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, India.ORCID 0000-0002-8982-473X
Vidhu SharmaDepartment of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, India.ORCID 0000-0002-3547-2329
Sourabha Kumar PatroDepartment of Otorhinolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0002-4819-7928
Amit GoyalDepartment of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, India.ORCID 0000-0002-4339-7541
Association for Language Learning · GBAll India Institute of Medical Sciences Jodhpur · INPost Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary angioedema (HAE) differs from histamine-mediated angioedema in that it is resistant to steroids and antihistamines. Laryngeal attacks of this condition, if not diagnosed timely, carry a mortality rate up to 34%. Rarely, this disease goes undiagnosed until late adulthood and presents a life-threatening episode that poses a management challenge to the emergency physician. We report the case of a 48-year-old man who presented to the emergency department with progressive breathing difficulty two hours after consuming a carbonated drink. Clinical examination revealed supraglottic edema. He did not respond to steroids or antihistamines and required emergency tracheostomy to secure the airway due to failed intubation. Absence of symptoms such as itching or urticaria and inadequate response to steroids pointed to hereditary angioedema. Low complement factor 4 levels with low C1 esterase inhibitor functionality confirmed the diagnosis. This case report highlights the fact that delayed presentation of HAE can be life threatening and the diagnosis should be considered in all non-atopic adult patients with angioedema.

Indexed as

airway managementairway obstructionC1 esterase inhibitorHereditary angioedematracheotomy

Identifiers

PMID33554204
PMCPMC7846295
OpenAlexW3123903962

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.