Evidence map›Paper›PMID 42591134›Full record

ArticleFrontiers in cardiovascular medicine2026

Impaired lymphatic drainage in a child with hydrops fetalis and a novel variant in the PROX1 gene: case report and review of literature.

Domenico Umberto De Rose, Flaminia Pugnaloni, Simonetta Costa, Nicoletta Menzella, Elisa Pisaneschi, Andrea Diociaiuti, Gian Luigi Natali, Aurelio Secinaro, Laura Massella, Maria Cristina Digilio and 6 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in cardiovascular medicine, 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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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

16 authors.

Domenico Umberto De Rose *Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Flaminia Pugnaloni *Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Simonetta CostaNeonatal Intensive Care Unit, Policlinico Casilino, Rome, Italy.
Nicoletta MenzellaNeonatal Intensive Care Unit, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Elisa PisaneschiTranslational Cytogenomics Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Andrea DiociaiutiDermatology Unit and Genodermatosis Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Gian Luigi NataliInterventional Radiology Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Aurelio SecinaroAdvanced Cardiovascular Imaging Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Laura MassellaPediatric Nephrology Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Maria Cristina DigilioMedical Genetics Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Francesca CampiNeonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Antonio NovelliTranslational Cytogenomics Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Andrea ConfortiNeonatal Surgery Unit, "Bambino Gesù" Children's Hospital, IRCCS, Rome, Italy.
Irma CapolupoNeonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Giovanni VentoNeonatal Intensive Care Unit, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Andrea DottaNeonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PROX1 is a gene that encodes a protein that may play a key role in the development of the lymphatic system. This report describes impaired lymphatic drainage, with non-immune hydrops fetalis, congenital bilateral chylothorax, chylous ascites, and the need for peritoneal dialysis in a preterm neonate born at 32 weeks of gestation. The child died at about seven months of life. Clinical Exome Sequencing revealed the novel heterozygous variant c.502C > T in the PROX1 gene, which determines the change p.Arg168Trp at the protein level. This

Indexed as

chylothoraxcongenital anomaliesneonatenewbornperitoneal dialysispreterm

Identifiers

PMID42591134
PMCPMC13461409

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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.