Evidence map›Paper›PMID 41025026›Full record

ArticleOxford medical case reports2025

Donohue syndrome with a homozygous INSR exon 14 deletion: a case report.

José Daniel Almazán Monroy, Arodys Julianny Valle Martinez, Sara Elizabeth Milla Salguero, Eduardo Smelin Perdomo Domínguez

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 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. 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

4 authors.

José Daniel Almazán MonroyDepartment of Pediatrics, Hospital Nacional Mario Catarino Rivas, 1st Street, Barrio El Playón, San Pedro Sula, 21102, Honduras.
Arodys Julianny Valle MartinezInstituto Hondureño de Seguridad Social, Boulevard del Norte, San Pedro Sula, 21102, Honduras.
Sara Elizabeth Milla SalgueroMédico General, Hospital Nacional Mario Catarino Rivas, 1st Street, Barrio El Playón, San Pedro Sula, 21102, Honduras.
Eduardo Smelin Perdomo DomínguezGIMUNICAH, Faculty of Medicine, Universidad Católica de Honduras, Colonia Zerón, 12th Street, 21st Avenue, San Pedro Sula, 21101, Honduras.ORCID https://orcid.org/0000-0003-0991-8179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Donohue syndrome (DS) is a rare autosomal recessive disorder caused by homozygous or compound heterozygous mutations in insulin receptor (INSR), leading to severe insulin resistance. It is characterized by extreme hyperinsulinemia, fasting hypoglycemia, postprandial hyperglycemia, severe growth restriction, and dysmorphic features, with a high mortality rate in the first year due to metabolic instability and infections. We report the case of a 3-month-old Honduran girl with a homozygous exon 14 deletion in INSR who presented with severe insulin resistance, metabolic dysregulation, and dysmorphic facial features. Despite treatment with octreotide, metformin, and maltodextrin, the patient's condition worsened, leading to septic shock, disseminated intravascular coagulation, and multiple organ failure. This case highlights the challenges in correlating genotype with phenotype in DS and emphasizes the importance of understanding how specific INSR mutations influence the treatment response and clinical outcomes.

Indexed as

Donohue syndromeIGF-1INSRinsulininsulin resistance

Identifiers

PMID41025026
PMCPMC12476552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.