Evidence map›Paper›PMID 39997724›Full record

ReviewMetabolites2025

Practical Recommendations in the Treatment of Acute and Chronic Life-Threatening Infectious Diseases in Patients with Acute Hepatic Porphyria.

Bruno de Mattos Lombardi Badia, Paulo de Lima Serrano, João Paulo Barile, Daniel Delgado Seneor, Patrícia Marques Mendes, Renan Brandão Rambaldi Cavalheiro, Kaliny Oliveira Peixoto, Igor Braga Farias, Roberta Ismael Lacerda Machado, Wladimir Bocca Vieira de Rezende Pinto and 2 more

Abstract readReview
In one paragraph

Review in Metabolites, 2025. 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

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

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

12 authors.

Bruno de Mattos Lombardi BadiaDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.ORCID 0000-0001-7360-0494
Paulo de Lima SerranoDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
João Paulo BarileDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Daniel Delgado SeneorDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Patrícia Marques MendesDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Renan Brandão Rambaldi CavalheiroDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Kaliny Oliveira PeixotoDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Igor Braga FariasDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Roberta Ismael Lacerda MachadoDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.
Wladimir Bocca Vieira de Rezende PintoDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.ORCID 0000-0002-0150-525X
Acary Souza Bulle OliveiraDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.ORCID 0000-0002-6986-4937
Paulo SgobbiDivision of Neuromuscular Diseases, Porphyria Unit, Federal University of São Paulo (UNIFESP), São Paulo 04039-060, SP, Brazil.ORCID 0000-0002-7416-7108

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute hepatic porphyrias (AHPs) represent inherited metabolic disorders of the heme biosynthesis pathway, leading to neurological and systemic impairment. Despite the presence of well-recognized chronic symptoms and signs, acute neurological, both neuromuscular and central neurological complications pose a significant challenge in clinical practice, with a potential risk of greater severity and mortality during acute decompensation episodes of AHPs. Care related to the prescription of medications, considering the risk of porphyrinogenicity, is a major and recurring concern in the acute and chronic management of AHP patients. Infectious clinical complications are significant issues in both outpatient and hospital settings for patients with AHPs. It is crucial to identify therapeutic regimens with the best safety and efficacy profiles for treating such infectious complications in AHP patients. The scarcity of structured knowledge available in guidelines and recommendations often leads to the use of therapeutic options with higher potential risks in treating patients with AHPs.

objectivesThis review article aims to provide practical recommendations for managing the most significant infectious complications in clinical practice, with a focus on their impact on the clinical care of patients with AHPs.

Indexed as

acute hepatic porphyriaacute intermittent porphyriaanti-infective agentsinfectious disease medicineporphyrins

Identifiers

PMID39997724
PMCPMC11857646

What OpenQuestion holds

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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.