Evidence map›Paper›PMID 38707657›Full record

ArticleJCEM case reports2024

Two Cases of Sitosterolemia Falsely Diagnosed as Familial Hypercholesterolemia: Could Digging Deeper Have Avoided Harm?

Simon-Pierre Guay, Martine Paquette, Chantal Blais, Géraldine Gosse, Alexis Baass

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Simon-Pierre GuayGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montréal, Québec H2W 1R7, Canada.ORCID https://orcid.org/0000-0001-6327-7048
Martine PaquetteGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montréal, Québec H2W 1R7, Canada.ORCID https://orcid.org/0000-0002-7555-1275
Chantal BlaisGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montréal, Québec H2W 1R7, Canada.
Géraldine GosseGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montréal, Québec H2W 1R7, Canada.
Alexis BaassGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montréal, Québec H2W 1R7, Canada.ORCID https://orcid.org/0000-0001-9534-1657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sitosterolemia is a rare monogenic lipid disease characterized by the excessive uptake of phytosterols and their accumulation in blood and tissues. Clinically, it can present with hypercholesterolemia and xanthomas, often causing it to be misdiagnosed as familial hypercholesterolemia (FH). The diagnosis of sitosterolemia can easily be confirmed and distinguished from FH with a sterol profile and genetic investigations. Here, we report a sibship of 2 sisters with sitosterolemia initially misdiagnosed as FH. This case report illustrates the importance of considering rare conditions, such as sitosterolemia, as a differential diagnosis in patients with hypercholesterolemia, xanthomas, and hematologic anomalies. It also emphasizes the underdiagnosis of sitosterolemia and the benefits of using sterol profiles and genetic testing in the diagnostic process to initiate the appropriate therapy and avoid harm to patients.

Indexed as

ABCG5ezetimibemacrothrombocytopeniaphytosterolsitosterolemia

Identifiers

PMID38707657
PMCPMC11066937

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.