Evidence map›Paper›PMID 41169469›Full record

ArticleFrontiers in endocrinology2025

Case Report: Autoimmune polyglandular syndrome type 4 involving diabetes mellitus type 1, autoimmune hepatitis, immune thrombocytopenia, and celiac disease.

Miłosz Nesterowicz, Katarzyna Anikiej, Hanna Borysewicz-Sańczyk, Aneta Zasim, Stanisław Trzebuchowski, Katarzyna Bąbol-Pokora, Dariusz Lebensztejn, Elżbieta Leszczyńska, Artur Bossowski

Abstract readCase Reports
In one paragraph

Article in Frontiers in endocrinology, 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

9 authors.

Miłosz NesterowiczDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.
Katarzyna AnikiejDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.
Hanna Borysewicz-SańczykDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.
Aneta ZasimDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.
Stanisław TrzebuchowskiDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.
Katarzyna Bąbol-PokoraDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, Lodz, Poland.
Dariusz LebensztejnDepartment of Pediatrics, Gastroenterology, Hepatology, Nutrition, Allergology and Pulmonology, Medical University of Bialystok, Bialystok, Poland.
Elżbieta LeszczyńskaDepartment of Pediatric Oncology and Hematology, Medical University of Bialystok, Bialystok, Poland.
Artur BossowskiDepartment of Pediatrics, Endocrinology, Diabetes with the Cardiology Division, Medical University of Bialystok, Bialystok, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune polyglandular syndromes refer to a group of disorders characterized by dysfunction in two or more endocrine glands, often accompanied by autoimmune involvement in non-endocrine tissues. A 6-year-old girl was admitted due to suspected diabetes mellitus. The symptoms observed by the parents were polyuria, polydipsia, and an acetone odor. Physical examination revealed a dry oral mucosa, a tongue coated with a white film, ecchymoses on the upper limbs, and a distended abdomen, arched above the chest level, and increased bowel sounds. After comprehensive differential diagnostics, the patient was identified with diabetes mellitus type 1, autoimmune hepatitis, immune thrombocytopenia, celiac disease, and thus autoimmune polyglandular syndrome type 4. The case illustrates a very rare combination of coexisting autoimmune disorders. When a patient is diagnosed with one autoimmune disease, it is crucial to screen actively for other autoimmune conditions. It is essential to remember that the clinical presentation of a patient is often the result of overlapping symptoms from multiple conditions.

Indexed as

Celiac DiseaseDiabetes Mellitus, Type 1Hepatitis, AutoimmunePolyendocrinopathies, AutoimmunePurpura, Thrombocytopenic, IdiopathicChildFemaleHumansAPS-4autoimmune hepatitisautoimmune polyglandular syndrome type 4case reportceliac diseasediabetes mellitus type 1immune thrombocytopeniarare disease

Identifiers

PMID41169469
PMCPMC12568398

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.