Evidence map›Paper›PMID 40151732›Full record

ArticleCureus2025

Diagnostic Dilemmas of Wilson's Disease.

Harsha Vardhini, Ganapathiearaman Ramakrishnan, Bhuvana Krishna

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

3 authors.

Harsha VardhiniCritical Care Medicine, St. John's Medical College and Hospital, Bengaluru, IND.
Ganapathiearaman RamakrishnanCritical Care Medicine, St. John's Medical College and Hospital, Bengaluru, IND.
Bhuvana KrishnaCritical Care Medicine, St. John's Medical College and Hospital, Bengaluru, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wilson's disease is a rare autosomal recessive disorder characterized by impaired hepatic copper transport, leading to copper accumulation in tissues and diverse clinical manifestations. A 27-year-old male chemical factory worker presented with acute haemolytic anaemia, pancytopenia, jaundice, and altered sensorium, indicative of acute liver failure. Despite normal serum ceruloplasmin levels, elevated 24-hour urinary copper levels (227.53 µg/24 hours) supported the diagnosis of probable Wilson's disease. The patient responded to symptomatic management, including transfusions and antibiotics, with gradual clinical and biochemical improvement before discharge against medical advice. This case underscores the diagnostic challenges of Wilson's disease due to nonspecific symptoms and limitations of laboratory tests. It highlights the importance of clinical suspicion and a multidisciplinary approach to ensure accurate diagnosis and timely treatment.

Indexed as

acute liver failure (alf)coomb's negativehaemolytic anaemialeipzig scoreserum ceruloplasminwilson`s disease

Identifiers

PMID40151732
PMCPMC11948869

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.