Evidence map›Paper›PMID 35925483›Full record

ArticleJournal of clinical immunology2022

Clinical and Immunological Defects and Outcomes in Patients with Chromosome 22q11.2 Deletion Syndrome.

Hsin-Hui Yu, Yin-Hsiu Chien, Meng-Yao Lu, Ya-Chiao Hu, Jyh-Hong Lee, Li-Chieh Wang, Yu-Tsan Lin, Yao-Hsu Yang, Bor-Luen Chiang

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In one paragraph

Article in Journal of clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. A Systematic Review of Autoimmunity in 22q11.2 Deletion Syndrome.Expert reviews in molecular medicine · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Vaccine immunity in patients with 22q11.2 microdeletion syndrome.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Observational
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  12. 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

9 authors at 2 institutions in 1 country.

Hsin-Hui YuDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Yin-Hsiu ChienDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Meng-Yao LuDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Ya-Chiao HuDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Jyh-Hong LeeDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Li-Chieh WangDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Yu-Tsan LinDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Yao-Hsu YangDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Bor-Luen ChiangDepartment of Paediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan. gicmbor@ntu.edu.tw.ORCID 0000-0002-6705-0286
National Taiwan University Hospital · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChromosome 22q11.2 deletion syndrome (22q11.2DS) is the most common microdeletion syndrome in humans and can present with highly variable clinical manifestations. Immune deficiencies occur because of thymic hypoplasia or aplasia.

methodsThis retrospective study included patients diagnosed with 22q11.2DS at a medical center between 2000 and 2021. We analyzed the association between clinical phenotypes, immunological abnormalities, age, and outcomes.

resultsEighty-seven patients with 22q11.2DS had a median diagnostic age of 1.78 months. Patients presented with congenital heart disease (CHD; 86.2%), major infections (75.9%), and failure to thrive (FTT; 58.6%). Autoimmunity, neuropsychiatric disorders, and hypoparathyroidism were significantly associated. Neonatal seizures were associated with early diagnosis before 2 months (OR 8.56, 95% CI 1.21-60.58, P = 0.032). Immunological abnormalities included lymphopenia (93.1%), T lymphopenia (71.9%), CD4

conclusionsCHD, major infection, and FTT were common manifestations and poor prognostic factors. Autoimmunity, neuropsychiatric disorders, and hypoparathyroidism were significantly associated. Although T lymphopenia may improve with age, patients with 22q11.2DS require lifelong monitoring for immune dysregulation.

Indexed as

DiGeorge SyndromeHeart Defects, CongenitalLymphopeniaChromosome DeletionChromosomesHumansInfantInfant, NewbornRetrospective StudiesChromosome 22q11.2 deletion (22q11.2DS)DiGeorge syndromeHematopoietic stem cell transplantationLymphopenia

Identifiers

PMID35925483
OpenAlexW4289745459

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.