Evidence map›Paper›PMID 40316945›Full record

ReviewBMC pediatrics2025

Autoimmune polyendocrine syndrome type 2 in children: a case report and literature review.

Yahong Liu, Fei Wang, Lijuan Zhang, Hongxiao Zhang, Yanfang Zhu

Abstract readCase ReportsReview
In one paragraph

Review in BMC pediatrics, 2025. 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. Review
  2. Article
  3. 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

5 authors.

Yahong Liu *Department of Child Health Care and Rehabilitation, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, People's Republic of China. 2008liuyahong@163.com.
Fei Wang *Department of Child Health Care and Rehabilitation, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, People's Republic of China.
Lijuan ZhangDepartment of Child Health Care and Rehabilitation, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, People's Republic of China.
Hongxiao ZhangDepartment of Child Health Care and Rehabilitation, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, People's Republic of China.
Yanfang ZhuDepartment of Child Health Care and Rehabilitation, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, People's Republic of China.

Funding

The 2024 University Teacher Innovation Fund Project 2024B-024
6 · The paper itself

Abstract

backgroundAutoimmune polyendocrine syndrome (APS) is a clinical disorder characterized by the loss of immune tolerance, leading to dysfunction in multiple endocrine glands. According to the latest disease classification, APS is categorized into three main subtypes: APS-1, APS-2, and IPEX (Immune Dysregulation, Polyendocrinopathy, Enteropathy, X-linked) syndrome. APS-2 is defined by the presence of at least two autoimmune endocrine disorders, such as type 1 diabetes mellitus, autoimmune thyroiditis, or Addison's disease. APS-2 typically manifests later than APS-1, with onset most commonly occurring in early adulthood. However, pediatric cases involving a combination of autoimmune thyroid disease, type 1 diabetes mellitus, and myasthenia gravis, are extremely rare. CASE PRESENTATION: This article reported the case of a 3-year-old girl diagnosed with autoimmune polyendocrine syndrome type 2 (APS-2). The patient initially presented with hyperthyroidism and exophthalmos and was subsequently diagnosed with type 1 diabetes mellitus and myasthenia gravis. To our knowledge, this case represents the youngest reported patient of APS-2 at the time of diagnosis, as well as the shortest documented interval between the onset of autoimmune disorders affecting distinct endocrine glands.

conclusionsThrough a retrospective analysis, we comprehensively reviewed the phenotypic characteristics of APS-2 and explored its potential immune mechanisms. This article aims to provide clinicians with a valuable reference case to enhance early recognition and facilitate the implementation of targeted prevention and treatment strategies.

Indexed as

Polyendocrinopathies, AutoimmuneChild, PreschoolDiabetes Mellitus, Type 1FemaleHumansMyasthenia GravisAutoimmune polyendocrine syndrome type 2Autoimmune thyroiditisMyasthenia GravisType 1 diabetes mellitus

Identifiers

PMID40316945
PMCPMC12046904

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.