Evidence map›Paper›PMID 40074839›Full record

Observational studyAnnals of hematology2025

Epidemiological and clinical characteristics of children and young adults with Glanzmann's thrombasthenia in upper Egypt: a multicenter cross-sectional study.

Gehan Lotfy Abdel Hakeem Khalifa, Amr Abdallah El-Sayed, Zahraa Elmasry, Khalid I Elsayh, Zizi T Atwa, Dalia Saber Morgan, Ebtesam Esmail Hassan, Mohmed A Hassan, Mervat A M Youssef

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Gehan Lotfy Abdel Hakeem KhalifaPediatric Hematology Unit, Department of Pediatrics, Faculty of Medicine, Minia University, Al-Minya, Egypt. gehan.khalifa@mu.edu.eg.ORCID http://orcid.org/0000-0002-0009-2465
Amr Abdallah El-SayedMedical Affairs Department, Novo Nordisk Egypt, Cairo, Egypt.
Zahraa ElmasryPediatric hematology unit, Department of Pediatrics, Faculty of Medicine, Sohag University, Sohag, Egypt.
Khalid I ElsayhPediatric hematology unit, Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
Zizi T AtwaPediatric hematology unit, Department of Pediatrics, Faculty of Medicine, Fayoum University, Al-Fayoum, Egypt.
Dalia Saber MorganPediatric hematology unit, Department of Pediatrics, Faculty of Medicine, Beni-Suef University, October 6 University, Beni-Suef, Cairo, Egypt.
Ebtesam Esmail HassanDepartment of Public Health and Preventive Medicine, Faculty of Medicine, Minia University, Al-Minya, Egypt.
Mohmed A HassanGenetics Unit, Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
Mervat A M YoussefPediatric hematology unit, Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlanzmann's thrombasthenia (GT) is an inherited rare bleeding disorder characterized by a deficiency or functional defect in the platelet αIIbβ3 integrin. This impairs normal platelet aggregation and leads to prolonged and spontaneous mucocutaneous bleeds.

objectivesTo report disease characteristics of a GT cohort from five tertiary hospitals in Upper Egypt. MATERIALS AND

methodsWe conducted a retrospective cross-sectional observational study, relying on patients' medical records and interview surveys to collect information from patients diagnosed with congenital GT between October 2023 and April 2024.

resultsWe recruited 131 people with GT (PwGT) of different ages, mainly children and adolescents. 73.3% of the study cohort had type I GT, 23.7% had type II GT, and 3% had type III GT. Consanguinity and family history were prevalent in our cohort, with an expected prevalence of more than one per 200,000 in our region. The median value of ADP aggregation was 8%. In type I GT, the median levels of CD41 and CD61 were 0.3%. In contrast, type II GT had median levels of 12% for CD41 and 17% for CD61. The most frequent manifestations were epistaxis (77.1%), subcutaneous bleeds (40.5%), menorrhagia (22.1%), and mucosal bleeds (18.3%). 72.5% of PwGT used rFVIIa and 69.5% used platelet transfusions to treat acute and surgical bleeds, while only 6.9% used tranexamic acid as monotherapy.

conclusionEstimating the actual burden of GT in Egypt requires accurate diagnoses, as well as systematic and standardized data collection. The rooted consanguinity pattern in Upper Egypt contributes to a higher prevalence of GT above the country's average.

Indexed as

ThrombastheniaAdolescentAdultChildChild, PreschoolConsanguinityCross-Sectional StudiesEgyptFemaleHumansInfantMaleRetrospective StudiesYoung AdultCross-sectional studyEgyptEpidemiological studyGlanzmann’s thrombastheniaInherited platelet disordersRare bleeding disorders

Identifiers

PMID40074839
PMCPMC12031911

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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.