Evidence map›Paper›PMID 41774599›Full record

ArticleHormone research in paediatrics2026

Autoantibody-Positive versus Autoantibody-Negative Type 1 Diabetes in Children: Clinical and Biochemical Characteristics.

Roos I van Rhijn, A S Paul van Trotsenburg, Rosaline Mentink

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Article in Hormone research in paediatrics, 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Roos I van RhijnDiaboss (Pediatric and Adolescent Diabetes Clinic), Amsterdam, The Netherlands, roosvanrhijn@hotmail.com.
A S Paul van TrotsenburgDepartment of Pediatric Endocrinology, Emma Children's Hospital, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Rosaline MentinkDiaboss (Pediatric and Adolescent Diabetes Clinic), Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to investigate differences in clinical and biochemical characteristics between autoantibody-positive and autoantibody-negative type 1 diabetes mellitus (T1DM) in children, to get a better understanding of autoantibody-negative T1DM.

methodsThis study is a monocenter retrospective cross-sectional cohort study conducted at Diaboss, a Dutch pediatric diabetes clinic at OLVG hospital. Patients diagnosed with T1DM before the age of 18 years were included. Patients tested positive for one or more diabetes-associated autoantibodies (GADA, IA2A, ZnT8, IAA, and/or ICA) were considered autoantibody positive. Patients solely positive for anti-ICA were excluded.

resultsA total of 562 patients were recruited. Eight of 562 (1.4%) patients tested positive for a monogenic cause of diabetes at a later stage and were excluded. A total of 11 of 488 (2.2%) autoantibody-positive patients tested solely positive for anti-ICA and were excluded. In 15 of 66 patients (23%) with autoantibody-negative T1DM, monogenic causes were ruled out by genetic testing. The other 51 patients (77%) were not tested. Autoantibody-negative patients with a positive family history for diabetes were more likely to be tested for monogenic causes (p = 0.002). No significant differences in demographic and clinical characteristics, diabetes presentation, and long-term diabetes regulation were found between autoantibody-positive and autoantibody-negative patients.

conclusionIn our study, autoantibody-positive and -negative T1DM patients were similar. This implies that both patient groups can be approached in the same way regarding treatment, education, and prognosis. Misdiagnosis of monogenic causes within T1DM could occur; therefore, clinicians should be aware of and perform genetic tests according to international guidelines.

Indexed as

Clinical decision makingDiabetes autoimmunityDiabetes in childrenDiabetes mellitus type 1

Identifiers

PMID41774599
PMCPMC13061391

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