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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Autoimmune polyglandular syndrome and GAD65 related-temporal lobe epilepsy.

Roberta Di Giacomo, Valentina Gasparini, Giulia Salvucci, Chiara Pastori, Andrea Stabile, Giulia Battaglia, Giuseppe Didato, Annalisa Parente, Rosalba Ferrario, Francesca Andreetta and 6 more

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 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
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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
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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

16 authors.

Roberta Di Giacomo *Epilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy. roberta.digiacomo@istituto-besta.it.
Valentina Gasparini *Unit -Multiple Sclerosis Centre ASST Valle Olona, Gallarate Hospital, Gallarate, Italy.
Giulia Salvucci *Epilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Chiara PastoriEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Andrea StabileEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Giulia BattagliaEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Giuseppe DidatoEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Annalisa ParenteEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Rosalba FerrarioEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Francesca AndreettaNeuroimmunology and Neuromuscular Disease Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Angelo Del SoleDepartment of Health Sciences, University of Milan, Milan, Italy.
Flavio VillaniDivision of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Fabio Martino DoniselliNeuroradiology Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Anna Paola SavoldiNeuroradiology Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Marco de CurtisEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
Francesco DeleoEpilepsy Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.

Funding

Ministero della Salute 202112372526
6 · The paper itself

Abstract

introductionAutoimmune polyglandular syndromes (APS) encompass a broad spectrum of disorders. APS III is characterized by autoimmune thyroiditis (AT) plus any autoimmune disorder, excluding Addison's disease. METHODS AND

resultsThis study explores the link between GAD65 related-temporal lobe epilepsy (GAD-TLE) and APS III. We retrospectively analyzed 29 GAD-TLE patients. Eighteen patients (62%) experienced at least one autoimmune disease, and ten patients (56%) fulfilled diagnostic criteria for APS III. In addition to AT and GAD-TLE, five patients had type 1 diabetes mellitus, one patient had latent autoimmune diabetes in adulthood, one autoimmune alopecia, one pernicious anemia, one had celiac disease and one patient had autoimmune alopecia, vitiligo, autoimmune atrophic gastritis and psoriasis. Approximately 35 years after the onset of the first disease, the probability of having the second disorder is over 80%. In our cohort, GAD65 antibodies are more frequently linked to AT than to type 1 diabetes mellitus, despite their well-known association.

conclusionOur data suggests that GAD65-TLE may share a common pathophysiology and should be included among APS-III diagnostic criteria. These insights support the need for rigorous, multidisciplinary monitoring to prevent delays in diagnosis and treatment. This work enhances understanding of APS complexity and informs targeted management strategies for patients with overlapping endocrine and neurological autoimmune disorders.

Indexed as

Epilepsy, Temporal LobeGlutamate DecarboxylasePolyendocrinopathies, AutoimmuneAdolescentAdultAgedAutoantibodiesDiabetes Mellitus, Type 1FemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultAutoantibodiesGlutamate Decarboxylaseglutamate decarboxylase 2Autoimmune polyglandular syndromesAutoimmune thyroiditisGAD65 antibodyGAD65 related-temporal lobe epilepsyLimbic encephalitisPolyglandular autoimmune syndromesType 1 diabetes mellitus

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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.