Evidence map›Paper›PMID 39286678›Full record

ArticleCureus2024

Challenges in Diagnosing and Managing Hurler Syndrome: A Case Report.

Lovett S Achiatar, Hussain B Hazoor, Rahul Adwani, Vaishvik K Patel, Ali Gul

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Lovett S AchiatarAcute Medicine, Medway Maritime Hospital, Kent, GBR.
Hussain B HazoorInternal Medicine, Pak Red Crescent Medical and Dental College, Lahore, PAK.
Rahul AdwaniInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Vaishvik K PatelInternal Medicine, St. George's University, West Indies, GRD.
Ali GulGeneral Surgery, Nishtar Medical University, Multan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report details a 12-year-old male diagnosed with Hurler syndrome, a rare autosomal recessive disorder caused by a deficiency in the enzyme alpha-L-iduronidase. The patient exhibited typical symptoms, including developmental delays, ocular clouding, and distinctive skeletal deformities, along with mild cognitive abnormalities. Despite the presence of traditional clinical signs and elevated urine heparin and dermatan sulfate levels confirming the diagnosis, access to advanced treatments such as enzyme replacement therapy was severely limited due to socioeconomic constraints and a lack of diagnostic facilities in the region. This case highlights the critical need for accessible diagnostic and treatment options in resource-limited settings and underscores the importance of ethical decision-making in managing rare genetic disorders. The report advocates for a multidisciplinary approach to enhance outcomes for patients with Hurler syndrome.

Indexed as

alpha-l-iduronidase deficiencydevelopmental delaysglycosaminoglycan accumulationhurler syndromemucopolysaccharidosis type i

Identifiers

PMID39286678
PMCPMC11405063

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.