Evidence map›Paper›PMID 39568774›Full record

ArticleResearch and practice in thrombosis and haemostasis2024

A cluster of pediatric vaccine-induced immune thrombotic thrombocytopenia-like cases with thrombosis and thrombocytopenia following respiratory infections-case series.

Dimitra Dimopoulou, Lida Mentesidou, Athina Dettoraki, Christina Karastathi, Maria Berikopoulou, Panagiota Katsouli, Ioanna Anastasopoulou, Iason G Stamatakis, Theodora Bachou, Flora Tzifi and 4 more

Abstract readCase Reports
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

  1. Classification of Platelet-Activating Anti-Platelet Factor 4 Disorders.International journal of laboratory hematology · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Anti-Platelet factor 4 immunothrombosis-not just heparin and vaccine triggers.Research and practice in thrombosis and haemostasis · 2025
    Review
  7. Mini-clusters of postadenovirus VITT.Research and practice in thrombosis and haemostasis · 2025
    Article
  8. Review
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

14 authors.

Dimitra Dimopoulou2nd Department of Pediatrics, "Aghia Sofia" Children's Hospital, Athens, Greece.
Lida Mentesidou1st Department of Pediatrics, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.
Athina DettorakiHaemophilia Centre for Children and Adolescents/Haemostasis and Thrombosis Unit, "Aghia Sofia" Children's Hospital, Athens, Greece.
Christina Karastathi2nd Department of Pediatrics, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.
Maria Berikopoulou2nd Department of Pediatrics, "Aghia Sofia" Children's Hospital, Athens, Greece.
Panagiota Katsouli1st Department of Pediatrics, National and Kapodistrian University of Athens, "Aghia Sofia" Children's Hospital, Athens, Greece.
Ioanna AnastasopoulouHemostasis Department, Laikon General Hospital, Athens, Greece.
Iason G StamatakisDepartment of Pediatric Neurology, "Aghia Sofia" Children's Hospital, Athens, Greece.
Theodora Bachou1st Department of Pediatrics, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.
Flora Tzifi2nd Department of Pediatrics, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.
Aikaterini MichalopoulouHaemophilia Centre for Children and Adolescents/Haemostasis and Thrombosis Unit, "Aghia Sofia" Children's Hospital, Athens, Greece.
Anna Messaritaki2nd Department of Pediatrics, "Aghia Sofia" Children's Hospital, Athens, Greece.
Vana Spoulou1st Department of Pediatrics, National and Kapodistrian University of Athens, "Aghia Sofia" Children's Hospital, Athens, Greece.
Helen PergantouHaemophilia Centre for Children and Adolescents/Haemostasis and Thrombosis Unit, "Aghia Sofia" Children's Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adenoviral vector COVID-19 vaccine-induced immune thrombotic thrombocytopenia (VITT) is a heparin-independent platelet-activating disorder. An increasing number of VITT-like disorders without previous vaccination are being identified. Key Clinical Question: To explore the association of the pediatric cluster of postinfectious thrombosis and thrombocytopenia with VITT-like disorders. Clinical Approach: Three children with severe thrombocytopenia, coagulopathy, elevated D-dimer, and thrombotic events (cerebral venous sinus thrombosis) were reported. Two had positive nasopharyngeal samples for adenovirus, and 1 had group A streptococcus infection. They all had a COVID-19 history and low-risk antiphospholipid syndrome. Heterozygosity for factor V Leiden was found in 2 children. In 2 patients for whom anti-platelet factor 4 (PF4) serology was performed, positive results were found by PF4/polyanion lateral-flow immunoassay but negative results by PF4/polyanion chemiluminescence immunoassay. All patients were treated with enoxaparin or fondaparinux and intravenous immunoglobulin, while 3 received platelets transfusion and steroids. Conclusion: This cluster of pediatric cases with thrombosis and thrombocytopenia may indicate a postinfectious (most notably, postadenovirus) VITT-like disorder.

Indexed as

adenovirusantiphospholipid syndromecerebral thrombosisCOVID-19streptococcusthrombocytopeniaVITT-like disorder

Identifiers

PMID39568774
PMCPMC11577177

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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.