Evidence map›Paper›PMID 39845949›Full record

ArticleFrontiers in immunology2024

Case report: Adult case of A20 haploinsufficiency suspected as neuro-Behçet disease.

Harumi Shirai, Naoko Saito-Sato, Emiko Horiuchi, Hirotoshi Kikuchi, Saori Kadowaki, Hidenori Ohnishi, Takeshi Suzuki

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 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
–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

3 citing papers in PubMed.

  1. How I Treat: Haploinsufficiency of A20.Journal of human immunity · 2026
    Review
  2. OTU deubiquitinases in disease: roles and targeting.Trends in molecular medicine · 2026
    Review
  3. 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

7 authors.

Harumi ShiraiDepartment of Rheumatology & Allergology, Japanese Red Cross Medical Center, Tokyo, Japan.
Naoko Saito-SatoDepartment of Neurology, Japanese Red Cross Medical Center, Tokyo, Japan.
Emiko HoriuchiDepartment of Neurology, Japanese Red Cross Medical Center, Tokyo, Japan.
Hirotoshi KikuchiGeneral Medical Education and Research Center, Teikyo University, Tokyo, Japan.
Saori KadowakiDepartment of Early Diagnosis and Preventive Medicine for Rare Intractable Pediatric Diseases, Graduate School of Medicine, Gifu University, Gifu, Japan.
Hidenori OhnishiDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Takeshi SuzukiDepartment of Rheumatology & Allergology, Japanese Red Cross Medical Center, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with A20 haploinsufficiency (HA20) presenting with central nervous system (CNS) symptoms are rare, and available reports are limited. Here, we describe a patient with HA20, previously followed up as Behçet disease, who presented with CNS symptoms in adulthood. A 38-year-old Japanese male who had been followed up for incomplete Behçet disease at another hospital since 28 years of age presented to our hospital with acute-onset diplopia and persistent hiccups that were severe enough to cause vomiting. Despite suspicion of neuro-Behçet disease on the basis of the patient's medical history, a definitive diagnosis could not be made. He experienced transient episodes of diplopia over a short period, and brain magnetic resonance imaging T2 fluid-attenuated inversion recovery images revealed nonspecific hyperintensities in the cerebral white matter. He was initially managed with low-dose prednisolone and colchicine but continued to experience low-grade fever, recurrent oral ulcers, and genital ulcers. A gene panel test for periodic fever syndromes revealed a variant in the

Indexed as

Behcet SyndromeHaploinsufficiencyTumor Necrosis Factor alpha-Induced Protein 3AdultHumansMagnetic Resonance ImagingMaleTNFAIP3 protein, humanTumor Necrosis Factor alpha-Induced Protein 3A20 haploinsufficiencydiplopianeuro-Behçet diseaseTNFAIP3variant functional analysis

Identifiers

PMID39845949
PMCPMC11752879

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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.