Evidence map›Paper›PMID 33936819›Full record

ArticleCase reports in endocrinology2021

"Primary Hyperparathyroidism (PHPT) in Children: Two Case Reports and Review of the Literature".

Gerdi Tuli, Jessica Munarin, Daniele Tessaris, Raffaele Buganza, Patrizia Matarazzo, Luisa De Sanctis

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. [Primary hyperparathyroidism in children].Problemy endokrinologii · 2023
    Observational
  7. Review
  8. Review
  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

6 authors at 1 institution in 1 country.

Gerdi TuliDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0001-5862-8958
Jessica MunarinDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-5075-8448
Daniele TessarisDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-6484-4371
Raffaele BuganzaDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0003-1850-2300
Patrizia MatarazzoDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0001-7601-786X
Luisa De SanctisDepartment of Pediatric Endocrinology, Regina Margherita Children's Hospital of Turin, Turin, Italy.ORCID https://orcid.org/0000-0003-2113-6196
Ospedale Regina Margherita · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary hyperparathyroidism (PHPT) is a rare disorder in children and adolescents. Typical biochemical features are hypercalcemia and hypophosphatemia, but the clinical features can be heterogeneous, and in some cases, symptoms are vague and nonspecific, leading to misdiagnosis or late diagnosis. Herein, we report two cases of PHPT in pediatric age with different presenting symptoms, pain in the foot, and progressive alteration of the gait in the first case and recurrent abdominal pain with emotional lability in the second. Biochemical and radiological assessment confirmed PHPT. Both cases were treated surgically as definitive treatment, but in the second case, previous medical treatment with cinacalcet, a calcimimetic agent, was required to reduce serum PTH and calcium levels. After surgery, despite conventional treatment with calcium and calcitriol, case 1 developed a hungry bone syndrome. The analysis of the MEN-1 (Multiple Endocrine Neoplasia) gene was negative in both cases. A diagnosis of PHPT should be considered when children or adolescents present bone pain with radiological imaging of osteolytic lesion and biochemical feature of hypercalcemia associated with hypophosphatemia. In PHPT, the gold standard treatment is represented by surgery followed by strict postoperative endocrine monitoring to maintain adequate homeostasis of calcium and bone metabolism.

Identifiers

PMID33936819
PMCPMC8060104
OpenAlexW3154122073

What OpenQuestion holds

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Registered trials

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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.