Evidence map›Paper›PMID 36041558›Full record

ArticleJournal of the American Academy of Dermatology2023

Evidence-based consensus guidelines for the diagnosis and management of erythropoietic protoporphyria and X-linked protoporphyria.

Amy K Dickey, Hetanshi Naik, Siobán B Keel, Cynthia Levy, Simon W Beaven, Sarina B Elmariah, Angelika L Erwin, Robert J Goddu, Karli Hedstrom, Rebecca K Leaf and 12 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

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  10. Ferrochelatase Gene Variants Associated with Cholestasis in Adults: A Case Report.Journal of clinical and translational hepatology · 2025
    Article
  11. Review
  12. Erythropoietic protoporphyrias: Pathogenesis, diagnosis and management.Liver international : official journal of the International Association for the Study of the Liver · 2025
    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

22 authors at 16 institutions in 1 country.

Amy K DickeyDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Hetanshi NaikDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
Siobán B KeelDivision of Hematology, University of Washington School of Medicine, Seattle, Washington.
Cynthia LevyDivision of Digestive Health and Liver Diseases, University of Miami Miller School of Medicine, Miami, Florida.
Simon W BeavenVatche & Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, University of California Los Angeles Medical Center, Los Angeles, California.
Sarina B ElmariahHarvard Medical School, Boston, Massachusetts; Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Angelika L ErwinCenter for Personalized Genetic Healthcare, Cleveland Clinic, Cleveland, Ohio.
Robert J GodduDivision of Continuing Education, University of Colorado Boulder, Boulder, Colorado.
Karli HedstromDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
Rebecca K LeafHarvard Medical School, Boston, Massachusetts; Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Mohamed KazamelDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Marshall MazepaDivision of Hematology and Oncology, University of Minnesota Medical Center, Minneapolis, Minnesota.
Lisa Liang PhilpottsTreadwell Library, Massachusetts General Hospital, Boston, Massachusetts.
John QuigleyDivision of Hematology/Oncology, Department of Medicine, University of Illinois Chicago, Chicago, Illinois.
Haya RaefDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Sean R RudnickDepartment of Internal Medicine, Section on Gastroenterology and Hepatology, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
Behnam SaberiHarvard Medical School, Boston, Massachusetts; Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Manish ThaparDivision of Gastroenterology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Jonathan UngarDepartment of Dermatology, Mount Sinai Hospital, New York, New York.
Bruce WangDepartment of Medicine, University of California San Francisco Medical Center, San Francisco, California.
Manisha BalwaniDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: manisha.balwani@mssm.edu.
Porphyrias Consortium of the Rare Diseases Clinical Research Network
Icahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · USHarvard University · USAtrium Health Wake Forest Baptist · USBeth Israel Deaconess Medical Center · USCleveland Clinic · USLos Angeles Medical Center · USMount Sinai Hospital · USThomas Jefferson University Hospital · USUniversity of Alabama at Birmingham · USUniversity of California San Francisco Medical Center · USUniversity of Colorado Boulder · USUniversity of Illinois Chicago · USUniversity of Miami · USUniversity of Minnesota Medical Center · USUniversity of Washington · US

Funding

Porphyrias Consortium: SupplementU54DK083909 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DESNICK, ROBERT J · 2009 to 2023
$18.5M
Measuring and Understanding Light Sensitivity in Erythropoietic ProtoporphyriaK23AR079586 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI YEUNG, AMY KATHRYN · 2021 to 2025
$875k
NIAMS NIH HHS K23 AR079586NIDDK NIH HHS U54 DK083909
6 · The paper itself

Abstract

Erythropoietic protoporphyria and X-linked protoporphyria are rare genetic photodermatoses. Limited expertise with these disorders among physicians leads to diagnostic delays. Here, we present evidence-based consensus guidelines for the diagnosis, monitoring, and management of erythropoietic protoporphyria and X-linked protoporphyria. A systematic literature review was conducted, and reviewed among subcommittees of experts, divided by topic. Consensus on guidelines was reached within each subcommittee and then among all members of the committee. The appropriate biochemical and genetic testing to establish the diagnosis is reviewed in addition to the interpretation of results. Prevention of symptoms, management of acute phototoxicity, and pharmacologic and nonpharmacologic treatment options are discussed. The importance of ongoing monitoring for liver disease, iron deficiency, and vitamin D deficiency is discussed with management guidance. Finally, management of pregnancy and surgery and the safety of other therapies are summarized. We emphasize that these are multisystemic disorders that require longitudinal monitoring. These guidelines provide a structure for evidence-based diagnosis and management for practicing physicians. Early diagnosis and management of these disorders are essential, particularly given the availability of new and emerging therapies.

Indexed as

Dermatitis, PhototoxicGenetic Diseases, X-LinkedLiver DiseasesPractice Guidelines as TopicProtoporphyria, Erythropoietic5-Aminolevulinate SynthetaseHumans5-Aminolevulinate Synthetaseconsensuscutaneous porphyriadiagnosisEPPerythropoietic protoporphyriaevidence-basedguidelinesmanagementphotodermatosesprotoporphyriaX-linked protoporphyriaXLP

Identifiers

PMID36041558
PMCPMC9968824
OpenAlexW4293330663

What OpenQuestion holds

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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.