Evidence map›Paper›PMID 34179715›Full record

ArticlePediatric investigation2021

Atypical hematological manifestation of celiac disease: A case report of aplastic anemia in a 2-year-old child and review of the literature.

Thea von Graffenried, Mattia Rizzi, Michel Russo, Andreas Nydegger, Simon Kayemba-Kay's

Open access · goldAbstract readCase Reports
In one paragraph

Article in Pediatric investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 9 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

5 authors at 4 institutions in 2 countries.

Thea von GraffenriedPediatric Gastroenterology Unit Department of Pediatrics University of Lausanne Centre Hospitalier Universitaire Vaudois Lausanne Switzerland.
Mattia RizziHemato-Oncology Unit Department of Pediatrics University of Lausanne Switzerland.
Michel RussoDepartment of Pediatrics Centre Hospitalier du Valais Romand Sion Switzerland.
Andreas NydeggerPediatric Gastroenterology Unit Department of Pediatrics University of Lausanne Centre Hospitalier Universitaire Vaudois Lausanne Switzerland.
Simon Kayemba-Kay'sDepartment of Pediatrics Centre Hospitalier du Valais Romand Sion Switzerland.
University of Lausanne · CHCentre Hospitalier des Pays de Morlaix · FRHôpital du Valais · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCeliac disease typically presents with symptoms of malabsorption, but extraintestinal manifestations are increasingly reported. Aplastic anemia as the mode of celiac disease presentation is extremely rare in children. CASE PRESENTATION: We report a 2-year-old boy who presented with loose stools, loss of appetite, and bicytopenia with severe aregenerative normocytic anemia. Investigations, including bone marrow aspirate and biopsy, revealed aplastic anemia. Screening for malabsorption showed increased plasma concentrations of anti-transglutaminase and anti-gliadin antibodies. A duodenal biopsy confirmed the histologic features of celiac disease. The child received a packed red cell transfusion and was started on a gluten-free diet, with a very good prognosis and normalization of both his blood and histological parameters. To the best of our knowledge, our report is the sixth pediatric case in the literature.

conclusionScreening for celiac disease should be performed in children with unexplained hematological abnormalities such as aplastic anemia with or without gastrointestinal symptoms.

Indexed as

Aplastic anemiaCeliac diseaseChildGluten‐free diet

Identifiers

PMID34179715
PMCPMC8212756
OpenAlexW3176020492

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.