Evidence map›Paper›PMID 39871416›Full record

ArticleJournal of investigative medicine high impact case reports

Complement-Mediated Hemolytic Uremic Syndrome Due to MCP/CD46 Mutation: A Case Report.

Abdul Muhsen Abdeen, Jowan Al-Nusair, Malik Samardali, Mohamed Alshal, Amro Al-Astal, Zeid Khitan

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In one paragraph

Article in Journal of investigative medicine high impact case reports. 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

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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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Abdul Muhsen AbdeenMarshall University, Huntington, WV, USA.ORCID 0009-0009-9232-2114
Jowan Al-NusairMarshall University, Huntington, WV, USA.ORCID 0000-0002-7183-5940
Malik SamardaliMarshall University, Huntington, WV, USA.
Mohamed AlshalMarshall University, Huntington, WV, USA.
Amro Al-AstalMarshall University, Huntington, WV, USA.
Zeid KhitanMarshall University, Huntington, WV, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic microangiopathy (TMA) is a severe condition characterized by microangiopathic hemolytic anemia, thrombocytopenia, and end-organ damage, often involving the kidneys. Complement-mediated hemolytic uremic syndrome (cHUS), a rare form of TMA, arises from dysregulated alternative complement pathway activation, frequently due to genetic mutations. We report the case of a 23-year-old male presenting with TMA secondary to a heterozygous mutation in the membrane cofactor protein (MCP/CD46) gene. The patient exhibited severe renal and cardiovascular complications, including acute kidney injury requiring hemodialysis, uremic pericarditis, and persistent anemia. Diagnostic evaluation confirmed complement dysregulation, and management with eculizumab, plasmapheresis, and hemodialysis was initiated. Renal biopsy revealed classic TMA features, and genetic testing identified the MCP mutation, underscoring the importance of genetic predispositions in guiding diagnosis and therapy. This case emphasizes the critical role of genetic testing in TMA evaluation and highlights the potential for improved outcomes through targeted complement inhibition and individualized care strategies.

Indexed as

Hemolytic-Uremic SyndromeMembrane Cofactor ProteinAcute Kidney InjuryAntibodies, Monoclonal, HumanizedHumansKidneyMaleMutationPlasmapheresisRenal DialysisThrombotic MicroangiopathiesYoung AdultAntibodies, Monoclonal, HumanizedCD46 protein, humaneculizumabMembrane Cofactor Proteinatypical hemolytic uremic syndromecomplement-mediated hemolytic uremic syndromeeculizumabMCP/CD46 mutationthrombotic microangiopathy

Identifiers

PMID39871416
PMCPMC11773514

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