Evidence map›Paper›PMID 40529654›Full record

ArticleCase reports in pediatrics2025

Facial Lesions as an Early Manifestation of Acute Leukemia in a Child With Down Syndrome: A Case Report.

Saeed Yousefian, Pedram Pirmoradian, Shirin Badihi

Abstract readCase Reports
In one paragraph

Article in Case reports in pediatrics, 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

3 authors.

Saeed YousefianDepartment of Hematology Oncology, Isfahan University of Medical Sciences, Isfahan, Isfahan, Iran.ORCID https://orcid.org/0000-0003-0983-7512
Pedram PirmoradianIsfahan University of Medical Sciences, Isfahan, Isfahan, Iran.ORCID https://orcid.org/0009-0000-5936-0922
Shirin BadihiIsfahan University of Medical Sciences, Isfahan, Isfahan, Iran.ORCID https://orcid.org/0000-0002-3068-0153

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 19-month-old female with Down syndrome presented with recurrent left cheek swelling and left eye involvement, initially diagnosed as fasciitis/myositis and periorbital cellulitis. Despite empiric antibiotics, symptoms persisted. A whole-body CT scan revealed prominent lymph nodes, and a biopsy of the buccal mass showed myeloid sarcoma. Bone marrow aspiration confirmed acute myeloid leukemia. Following chemotherapy, the patient's symptoms resolved. This case underscores that acute leukemia may manifest as facial swelling or periorbital cellulitis, highlighting the importance of considering extramedullary myelosarcoma in cases of persistent, unexplained soft tissue swelling that does not respond to standard treatments.

Indexed as

acute myeloid leukemiacellulitisDown syndromepediatric

Identifiers

PMID40529654
PMCPMC12173557

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.