Evidence map›Paper›PMID 38052860›Full record

ArticlePediatric research2024

Diagnostic accuracy and the first genotype-phenotype correlation in glycogen storage disease type V.

Jorge Diogo Da Silva, Ângela Pereira, Ana Rita Soares, Arlindo Guimas, Sara Rocha, Márcio Cardoso, Cristina Garrido, Célia Azevedo Soares, Isabel Serra Nunes, Ana Maria Fortuna and 6 more

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Article in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

16 authors at 5 institutions in 2 countries.

Jorge Diogo Da Silva *Centro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal. jorge.dcr.silva@gmail.com.ORCID 0000-0001-7863-0406
Ângela Pereira *Centro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Ana Rita SoaresCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Arlindo GuimasDepartment of Internal Medicine, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Sara RochaDepartment of Internal Medicine, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Márcio CardosoUnidade Corino de Andrade and Neurophysiology Department, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Cristina GarridoCentro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Célia Azevedo SoaresCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Isabel Serra NunesCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Ana Maria FortunaCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Dulce QuelhasCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Sónia FigueiroaCentro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Rosa RibeiroDepartment of Internal Medicine, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Manuela SantosCentro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Esmeralda MartinsCentro Materno-Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Nataliya TkachenkoCentro de Genética Médica Doutor Jacinto Magalhães (CGM), Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Universidade do Porto · PTHospital de Santo António · PTERN GUARD-Heart · NLCentro Hospitalar do Porto · PTHospital Braga · PT

Funding

ICBAS—Instituto de Ciências Biomédicas Abel SalazarITR—Laboratory for Integrative and Translational Research in Population Health, Porto, PortugalUMIB—Unidade Multidisciplinar de Investigação BiomédicaUniversidade do Porto, Porto, Portugal
6 · The paper itself

Abstract

backgroundGlycogen storage disease type V (GSDV) is an autosomal recessive metabolic condition caused by pathogenic PYGM variants. This is an underdiagnosed condition as it presents with exercise intolerance in children. We reviewed the GSDV cases of a tertiary hospital center to assess diagnostic timing/accuracy, as well as potential clinical/analytical predictors of such factors.

methodsWe retrospectively reviewed all GSDV cases with follow-up in both Pediatric and Adult Metabolic Diseases consultations. We included 28 cases and assessed their hospital record for clinical information.

resultsOver 90% of our cases had late diagnoses, with more than 50% being diagnosed in adulthood despite symptom onset in preschool (very late diagnosis). Diagnostic age was lower in patients exhibiting myoglobinuria. Interestingly, patients with a positive family history of GSDV had similar rates of very late diagnoses, likely since the index case was already detected very late in life. Finally, we observe that the R50* variant is associated with increased myoglobinuria and CK elevation, in a dosage-dependent manner.

conclusionWe concluded that GSDV is severely underdiagnosed, and that some clinical and analytical aspects of the condition can be more indicative of this diagnosis. Furthermore, we propose for the first time a genotype-phenotype correlation in GSDV. IMPACT: GSDV is a pediatric-onset metabolic disorder that is mostly diagnosed late in the adult age and commonly misdiagnosed. We observed the first genotype-phenotype correlation in GSDV, regarding the common R50* variant. Awareness of GSDV for pediatricians and the overall medical community is vital.

Indexed as

Genetic Association StudiesGlycogen Storage Disease Type VAdolescentAdultChildChild, PreschoolDelayed DiagnosisFemaleGenotypeHumansInfantMaleMyoglobinuriaPhenotypeRetrospective StudiesYoung Adult

Identifiers

PMID38052860
OpenAlexW4389331509

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.