Evidence map›Paper›PMID 35845195›Full record

ArticleEJHaem2021

Cytopenia associated with copper deficiency.

Kaori Uchino, Lam Vu Quang, Megumi Enomoto, Yuta Nakano, Saki Yamada, Saori Matsumura, Jo Kanasugi, Soichi Takasugi, Ayano Nakamura, Tomohiro Horio and 7 more

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 39% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Vacuolated Marrow Cytopenias from Copper Deficiency toInternational journal of molecular sciences · 2025
    Pooled it
  2. Article
  3. Review
  4. Digging into the Cause of Drug-Induced Thrombocytopenia: A Case Report.Journal of the advanced practitioner in oncology · 2025
    Article
  5. Review
  6. 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

17 authors at 2 institutions in 1 country.

Kaori UchinoDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.ORCID https://orcid.org/0000-0003-2983-2129
Lam Vu QuangDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Megumi EnomotoDepartment of Clinical Laboratory Aichi Medical University Hospital Nagakute Japan.
Yuta NakanoDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Saki YamadaDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Saori MatsumuraDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Jo KanasugiDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Soichi TakasugiDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Ayano NakamuraDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Tomohiro HorioDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.ORCID https://orcid.org/0000-0002-3485-6857
Satsuki MurakamiDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Mineaki GotoDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Shohei MizunoDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Hidesuke YamamotoDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Masaya WataraiDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Ichiro HanamuraDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.
Akiyoshi TakamiDivision of Hematology, Department of Internal Medicine Aichi Medical University School of Medicine Nagakute Japan.ORCID https://orcid.org/0000-0002-1822-9976
Aichi Medical University · JPAichi Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Due to an increased incidence of copper deficiency, we investigated adult patients who had low serum levels of copper with cytopenia at our hospital from March 2014 to March 2021. Methods: We retrospectively reviewed the clinical data of patients who had been diagnosed with cytopenia due to copper deficiency at the Aichi Medical University Hospital from March 2014 to March 2021. Results: In the 15 patients with cytopenia secondary to low serum copper level, 11 had cytopenia of two to three lineages; three (27%) had pancytopenia, and eight (73%) had bicytopenia. Of the 15 patients, nine (60%) underwent bone marrow examinations; three (30%) showed typical morphologic features associated with copper deficiency, such as multiple clear cytoplasmic vacuoles in erythroblasts and myeloid cells, and three (30%) showed dysplastic features as observed in myelodysplastic syndrome. Among the 14 (93%) patients who were treated with copper supplements, had cessation of zinc supplements, or both, 11 (73%) and eight (53%) showed normal copper levels and hematological improvement, respectively. Conclusion: Copper deficiency is more common than expected and should be considered in patients with unexplained cytopenia.

Indexed as

copper deficiencycytopeniacytoplasmic vacuoleszinc supplements

Identifiers

PMID35845195
PMCPMC9175927
OpenAlexW3196806660

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.