Evidence map›Paper›PMID 41255438›Full record

ArticleJournal of clinical practice and research2023

Successful Treatment of Acute Hepatitis-Associated Aplastic Anemia in a Young Boy: a case report.

Mirna Natalija Anicic, Matija Bakos, Ana Petrovic Gluscic, Marijana Ćorić, Jurica Vukovic

Abstract readCase Reports
In one paragraph

Article in Journal of clinical practice and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

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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

5 authors.

Mirna Natalija AnicicDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.
Matija BakosDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.
Ana Petrovic GluscicDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.
Marijana ĆorićUniversity of Zagreb School of Medicine, Zagreb, Croatia.
Jurica VukovicDepartment of Pediatrics, University Hospital Centre Zagreb, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute hepatitis-associated aplastic anemia (AHAAA) is a rare clinical syndrome characterized by the development of aplastic anemia 2-3 months following an episode of acute hepatitis. Several immunosuppressive agents, but not mycophenolate mofetil (MMF), and bone marrow transplantation are the standard treatment options for AHAAA. Case Report: In this report, we present a case of a young boy with AHAAA manifesting as acute liver failure. The etiology was type 1 autoimmune hepatitis responsive to the second-line therapeutic combination of steroids and MMF. The liver has fully recovered, but bone marrow failure ensued. After 4 months, Clinical and laboratory improvement occurred without the need for bone marrow transplantation. An important aspect of this case is the full recovery of aplastic anemia without calcineurin inhibitors, anti-thymocyte globulin utilization, or bone marrow transplantation. Conclusion: Our case history supports MMF as a potentially crucial adjunctive therapy for patients with AHAAA who poorly respond to standard procedures.

Indexed as

aplastic anemiaAutoimmune hepatitischildrenimmunosuppressiontreatment

Identifiers

PMID41255438
PMCPMC12478706

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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.