Evidence map›Paper›PMID 41476857›Full record

ArticleAJP reports2025

Sirolimus for Recurrent Chylothorax and Edema in an Infant with Noonan Syndrome after Resolved Hydrops Fetalis: A Case Report.

Mariko Hattori, Kei Tamai, Hirokazu Watanabe, Akihito Takeuchi, Makoto Nakamura, Michio Ozeki, Misao Kageyama

Abstract readCase Reports
In one paragraph

Article in AJP 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

7 authors.

Mariko HattoriDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.
Kei TamaiDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.ORCID 0000-0002-3343-1590
Hirokazu WatanabeDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.
Akihito TakeuchiDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.
Makoto NakamuraDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.
Michio OzekiDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Misao KageyamaDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Noonan syndrome (Online Mendelian Inheritance in Man #163950) is a RASopathy caused by germline mutations in the RAS/RAF/mitogen-activated protein kinase signaling pathway and characterized by distinctive facial features, musculoskeletal abnormalities, and congenital heart defects. A subset of patients with Case Presentation: We report the case of an infant with Noonan syndrome and Conclusion: Although sirolimus was ineffective in this case, initiation of treatment at a lower dose may be advisable for patients with compromised hepatic function or concurrent infections. Further studies are warranted to clarify the appropriate indications, dosage, and timing of sirolimus therapy for Noonan syndrome.

Indexed as

chylothoraxedemaNoonan syndromerapamycinsirolimus

Identifiers

PMID41476857
PMCPMC12753187

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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.