Evidence map›Paper›PMID 34686179›Full record

ArticleBMC pediatrics2021

Langerhans cell histiocytosis misdiagnosed as cow protein allergy: a case report.

Xintong Lv, Libo Wang, Zhuang Pi, Chunyan Zhang

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. 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

4 authors at 1 institution in 1 country.

Xintong LvDepartment of Pediatric Gastroenterology, The First Hospital of Jilin University, No. 1 of Xinmin Street, Chaoyang District, Changchun, 130012, Jilin Province, China.
Libo WangDepartment of Pediatric Gastroenterology, The First Hospital of Jilin University, No. 1 of Xinmin Street, Chaoyang District, Changchun, 130012, Jilin Province, China.
Zhuang PiDepartment of Pediatric Gastroenterology, The First Hospital of Jilin University, No. 1 of Xinmin Street, Chaoyang District, Changchun, 130012, Jilin Province, China.
Chunyan ZhangDepartment of Pediatric Gastroenterology, The First Hospital of Jilin University, No. 1 of Xinmin Street, Chaoyang District, Changchun, 130012, Jilin Province, China. zhangchuny@jlu.edu.cn.
Jilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLangerhans cell histiocytosis (LCH) is a heterogeneous disease with diverse clinical manifestations. Abdominal organ involvement is rare. Early diagnosis and active treatment are needed. The purpose of this article is to enable readers to have a better knowledge of LCH and prevent misdiagnosis. CASE PRESENTATION: A 2-month-old boy had diarrhea, hematochezia, and a rash, and was diagnosed as having a cow milk protein allergy (CMPA). He was given an amino acid-based formula, but there was no sign of improvement in his condition. The patient then had a skin biopsy and was diagnosed as having multisystem Langerhans cell histiocytosis (MS-LCH). The general condition of the child deteriorated after the first two doses of chemotherapy, and the child died.

conclusionsMS-LCH is a protracted and progressive condition with poor prognosis. Early diagnosis and treatment are essential for survival. If a child has chronic diarrhea and hematochezia in the presence of a characteristic rash, the pediatrician should consider the possibility of this disease to avoid misdiagnosis.

Indexed as

ExanthemaFood HypersensitivityHistiocytosis, Langerhans-CellAnimalsCattleDiagnostic ErrorsHumansInfantMaleSkinCow milk protein allergyDiarrheaInfantLangerhans cell histiocytosisRash

Identifiers

PMID34686179
PMCPMC8532305
OpenAlexW3206932857

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.