Evidence map›Paper›PMID 40717836›Full record

ArticleSAGE open medical case reports2025

Case series demonstrating the effectiveness of Zn supplements in adults with hypophosphatasia who were overlooked for a long time.

Hisashi Kawashima, Atsuko Sasame, Yoko Ogaki, Takayuki Nakayama

Abstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Hisashi KawashimaDepartment of Pediatrics, Kohseichuo General Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0003-2571-9962
Atsuko SasameDepartment of Internal Medicine, Kohseichuo General Hospital, Tokyo, Japan.
Yoko OgakiDepartment of Internal Medicine, Kohseichuo General Hospital, Tokyo, Japan.
Takayuki NakayamaDepartment of Orthopedics, Kohseichuo General Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During routine medical examinations, we incidentally diagnosed 11 individuals with hypophosphatasia, which is a condition that has previously gone unrecognized. Six patients also had low levels of serum Zn. Supplemental Zn treatment was effective in controlling the symptoms of hypophosphatasia in all patients. One patient complained of muscle pain and twitching after starting Zn supplement treatment temporarily. The subjected three patients in whom Zn supplements were effective showed improvements in bone mineral density and general malaise. Zn supplements might be useful for controlling symptoms in patients with hypophosphatasia who have mild symptoms.

Indexed as

alkaline phosphatasebone mineral densityhealth checkhypophosphatasiavitamin D

Identifiers

PMID40717836
PMCPMC12290339

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.