Evidence map›Paper›PMID 39457196›Full record

ArticleChildren (Basel, Switzerland)2024

Primary Adrenal Insufficiency, Complete Sex Reversal, and Unique Clinical Phenotype in a Patient with Severe CYP11A1 (P450scc) Deficiency-Case Report and Literature Overview.

Zuzanna Nowak, Ewelina Preizner-Rzucidło, Jakub Gawlik, Jerzy B Starzyk, Dominika Januś

Abstract readCase Reports
In one paragraph

Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Zuzanna NowakHospital of the Brothers Hospitallers of Saint John of God, 31-061 Krakow, Poland.
Ewelina Preizner-RzucidłoDepartment of Genetics, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland.
Jakub GawlikUniversity Hospital, 30-688 Krakow, Poland.
Jerzy B StarzykDepartment of Pediatric and Adolescent Endocrinology, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland.
Dominika JanuśDepartment of Pediatric and Adolescent Endocrinology, Institute of Pediatrics, Jagiellonian University Medical College, 30-663 Krakow, Poland.ORCID 0000-0002-3870-368X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital adrenal hyperplasia (CAH) is a group of genetic disorders that lead to the dysfunction of the steroidogenesis pathway, resulting in steroid hormone deficiency of varied intensity. The cholesterol side-chain cleavage enzyme (P450scc), coded by the

objectiveWe report a case of CAH caused by P450scc deficiency with complete 46, XY sex reversal, characteristic facial features (narrow middle section of the face, small ears with thick helix, fleshy upturned lobules), and dysmorphic macrocephaly along with shortened upper and lower extremities.

resultsOur patient carries a compound heterozygotic pathogenic variant of the

conclusionsCYP11A1 (P450scc) deficiency is a rare and complex disorder that leads to primary adrenal insufficiency and may present with 46, XY disorders of sex development (DSD), phenotypic variations, and associated endocrinological abnormalities. This case, along with others cited, highlights the diverse presentations of DSD in individuals with pathogenic

Indexed as

46, XYCYP11A1P450sccprimary adrenal insufficiencysex reversal

Identifiers

PMID39457196
PMCPMC11505906

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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.