Evidence map›Paper›PMID 34485014›Full record

ArticleJIMD reports2021

Vitiligo, alkaptonuria, and nitisinone-A report of three families and review of the literature.

Lakshminarayan Ranganath, Milad Khedr, Leanne A Evans, Helen Bygott, Emily Luangrath, Elizabeth West

Open access · goldAbstract readCase Reports
In one paragraph

Article in JIMD reports, 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
1.2field-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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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  3. Review
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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

6 authors at 1 institution in 1 country.

Lakshminarayan RanganathDepartment of Clinical Biochemistry and Metabolic Medicine Royal Liverpool University Hospital Liverpool UK.ORCID https://orcid.org/0000-0002-4205-2269
Milad KhedrDepartment of Clinical Biochemistry and Metabolic Medicine Royal Liverpool University Hospital Liverpool UK.
Leanne A EvansDepartment of Clinical Biochemistry and Metabolic Medicine Royal Liverpool University Hospital Liverpool UK.
Helen BygottDepartment of Clinical Biochemistry and Metabolic Medicine Royal Liverpool University Hospital Liverpool UK.
Emily LuangrathDepartment of Clinical Biochemistry and Metabolic Medicine Royal Liverpool University Hospital Liverpool UK.
Elizabeth WestDepartment of Dermatology Royal Liverpool University Hospital Liverpool UK.
University of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Four patients, from three families, with alkaptonuria receiving 4-hydroxyphenylpyruvate dioxygenase-inhibiting nitisinone therapy, which lowers homogentisic acid and increases tyrosine, developed vitiligo. Three of the four patients were receiving nitisinone 2 mg daily, while the fourth was on 10 mg daily. All four patients were either receiving or had received transiently proton-pump inhibitors as therapy for dyspepsia. The ages of the patients were 35, 42, 40, and 67 years, respectively. Three patients were men and one was a woman. All four patients were either taking a proton-pump inhibitor or had been taking one at some point. Three of the four were of South Asian and one of Caucasian background. The three patients with South Asian background also had either a personal or family history of autoimmune disease. Distressing vitiligo, initially in an acrofacial distribution, developed unexpectedly in these four patients, before then progressing to involve other parts of the body. Potential factors in the appearance of vitiligo in this setting, including nitisinone and other drug therapy, are explored and responses to the appearance of vitiligo are discussed.

Indexed as

alkaptonuriahomogentisic acidnitisinoneproton‐pump inhibitorstyrosinevitiligo

Identifiers

PMID34485014
PMCPMC8411108
OpenAlexW3172827637

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.