Evidence map›Paper›PMID 42290847›Full record

ArticleFrontiers in endocrinology2026

Familial glucocorticoid deficiency due to a novel

Ibrahim Al Alwan, Kheloud M Alhamoudi, Abdullah Ibrahim Alzaben, Beshaier Almulhem, Nawal Qawasmi, Meshael Alswailem, Sara Alotaibi, Burair Alsaihati, Amjad Jabaan, Moeber Mahzari and 2 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in endocrinology, 2026. 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
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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

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

12 authors.

Ibrahim Al Alwan *College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Kheloud M Alhamoudi *Department of Molecular Oncology, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Abdullah Ibrahim AlzabenPediatric Endocrinology Division, Department of Pediatrics, King Abdullah Specialist Children's Hospital (KASCH), King Abdulaziz Medical City, Ministry of National Guard Health Affairs (MNG-HA), Riyadh, Saudi Arabia.
Beshaier AlmulhemDepartment of Pediatrics, Imam Abdulrahman Bin Faisal University, College of Medicine, Dammam, Saudi Arabia.
Nawal QawasmiCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Meshael AlswailemDepartment of Molecular Oncology, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Sara AlotaibiApplied Genomic Technologies Institute, King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia.
Burair AlsaihatiApplied Genomic Technologies Institute, King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia.
Amjad JabaanApplied Genomic Technologies Institute, King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia.
Moeber MahzariCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Christa E FlückDepartment for Biomedical Research, University Hospital Bern, Bern, Switzerland.
Ali S AlzahraniDepartment of Molecular Oncology, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disorder characterized by isolated cortisol deficiency and elevated adrenocorticotropic hormone (ACTH) levels. Variants in Methods: Whole-genome sequencing (WGS) was performed in a proband from a Saudi family who presented in early childhood with clinical and biochemical features consistent with FGD (Low basal and stimulated cortisol of < 5 nmol/l and extremely elevated ACTH levels of > 2500 pg/ml) and seizure disorder requiring medical treatment and with basal ganglia changes noted on brain MRI at presentation. WGS identified a novel likely pathogenic Results: WGS identified a novel missense homozygous Conclusion: This report adds another patient with a novel variant to the few previously described patients and expands the genetic spectrum of the very rare

Indexed as

Adrenal InsufficiencyMutation, MissenseSteroid Metabolism, Inborn ErrorsThioredoxin Reductase 2FemaleHumansMalePedigreeWhole Genome SequencingThioredoxin Reductase 2TXNRD2 protein, humanAdrenal insufficiencyfamilial glucocorticoid deficiencymissense mutationTXNRD2whole genome sequencing

Identifiers

PMID42290847
PMCPMC13253293

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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.