Evidence map›Paper›PMID 36763264›Full record

ReviewReviews in endocrine & metabolic disorders2023

Rare forms of genetic paediatric adrenal insufficiency: Excluding congenital adrenal hyperplasia.

Valeria Hasenmajer, Rosario Ferrigno, Marianna Minnetti, Bianca Pellegrini, Andrea M Isidori, Andrea Lenzi, Mariacarolina Salerno, Marco Cappa, Li Chan, Maria Cristina De Martino and 1 more

Open access · hybridFull text readReview
In one paragraph

Review in Reviews in endocrine & metabolic disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 11% 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, 11 citations in OpenAlex.

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  7. Adrenocortical stem cells in health and disease.Nature reviews. Endocrinology · 2025
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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

11 authors at 5 institutions in 2 countries.

Valeria Hasenmajer *Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-4301-6662
Rosario Ferrigno *UOSD Auxology and Endocrinology, Department of Pediatric, AORN Santobono-Pausilipon, Naples, Italy.ORCID 0000-0002-8172-2405
Marianna Minnetti *Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9091-2809
Bianca Pellegrini *Dipartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.ORCID 0000-0002-0496-8997
Andrea M IsidoriDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9037-5417
Andrea LenziDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-7711-0465
Mariacarolina SalernoDipartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.ORCID 0000-0003-1310-3300
Marco CappaEndocrinology Unit, Pediatric University Department, Bambino Gesù Children's Hospital, Rome, Italy.ORCID 0000-0001-5647-7519
Li ChanEndocrinology Centre, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.ORCID 0000-0001-5146-8242
Maria Cristina De MartinoDipartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.ORCID 0000-0003-3354-009X
Martin O SavageEndocrinology Centre, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. m.o.savage@qmul.ac.uk.ORCID 0000-0001-7902-3376
Sapienza University of Rome · ITFederico II University Hospital · ITQueen Mary University of London · GBBambino Gesù Children's Hospital · ITSantobono Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenal insufficiency (AI) is a severe endocrine disorder characterized by insufficient glucocorticoid (GC) and/or mineralocorticoid (MC) secretion by the adrenal glands, due to impaired adrenal function (primary adrenal insufficiency, PAI) or to insufficient adrenal stimulation by pituitary ACTH (secondary adrenal insufficiency, SAI) or tertiary adrenal insufficiency due to hypothalamic dysfunction. In this review, we describe rare genetic causes of PAI with isolated GC or combined GC and MC deficiencies and we also describe rare syndromes of isolated MC deficiency. In children, the most frequent cause of PAI is congenital adrenal hyperplasia (CAH), a group of adrenal disorders related to steroidogenic enzyme deficiencies, which will not be included in this review. Less frequently, several rare diseases can cause PAI, either affecting exclusively the adrenal glands or with systemic involvement. The diagnosis of these diseases is often challenging, due to the heterogeneity of their clinical presentation and to their rarity. Therefore, the current review aims to provide an overview on these rare genetic forms of paediatric PAI, offering a review of genetic and clinical features and a summary of diagnostic and therapeutic approaches, promoting awareness among practitioners, and favoring early diagnosis and optimal clinical management in suspect cases.

Indexed as

Adrenal Hyperplasia, CongenitalAdrenal InsufficiencyAdrenal GlandsChildHumansAddisonAdrenal insufficiencyAdrenoleukodystrophyAldosteronAldosterone SynthaseAllgrove syndromeCortisolFamilial glucocorticoid deficiencyIntrauterine growth retardation syndromesPseudohypoaldosteronismSteroidogenesisTriple A syndrome

Identifiers

PMID36763264
PMCPMC10023752
OpenAlexW4319826822

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read32
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.