Evidence map›Paper›PMID 33642901›Full record

ArticleYonago acta medica2021

Clinical Characteristics of Fragile X Syndrome Patients in Japan.

Tetsuya Okazaki, Kaori Adachi, Kaori Matsuura, Yoshitaka Oyama, Madoka Nose, Emi Shirahata, Toshiaki Abe, Takeshi Hasegawa, Toshiro Maihara, Yoshihiro Maegaki and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Yonago acta medica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
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

11 authors at 8 institutions in 1 country.

Tetsuya OkazakiDivision of Clinical Genetics, Tottori University Hospital, Yonago 680-8504, Japan.
Kaori AdachiResearch Initiative Center, Organization for Research Initiative and Promotion, Tottori University, Yonago 680-8503, Japan.
Kaori MatsuuraDivision of Clinical Genetics, Tottori University Hospital, Yonago 680-8504, Japan.
Yoshitaka OyamaDepartment of Pediatrics, Yokohama City University Medical Center, Yokohama 232-0024, Japan.
Madoka NoseDepartment of Pediatrics, Nose Pediatric Clinic, Kobe 653-0004, Japan.
Emi ShirahataDepartment of Pediatrics, Yamagata Prefectural Rehabilitation Center for Children with Disabilities, Kaminoyama 990-8570, Japan.
Toshiaki AbeDepartment of Pediatrics, Ashikaganomori Hospital, Ashikaga 326-0011, Japan.
Takeshi HasegawaDepartment of Pediatrics, Soka Municipal Hospital, Soka 340-0043, Japan.
Toshiro MaiharaDepartment of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki 660-8550, Japan.
Yoshihiro MaegakiDivision of Clinical Genetics, Tottori University Hospital, Yonago 680-8504, Japan.
Eiji NanbaDivision of Clinical Genetics, Tottori University Hospital, Yonago 680-8504, Japan.
Tottori University Hospital · JPTottori University · JPAkebono Clinic · JPAshikaga University · JPHyogo Prefectural Amagasaki General Medical Center · JPSoka Municipal Hospital · JPYamagata Prefectural University of Health Sciences · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFragile X syndrome (FXS) is a well-known X-linked disorder clinically characterized by intellectual disability and autistic features. However, diagnosed Japanese FXS cases have been fewer than expected, and clinical features of Japanese FXS patients remain unknown.

methodsWe evaluated the clinical features of Japanese FXS patients using the results of a questionnaire-based survey.

resultsWe presented the characteristics of seven patients aged 6 to 20 years. Long face and large ears were observed in five of seven patients. Macrocephaly was observed in four of five patients. The meaningful word was first seen at a certain time point between 18 and 72 months (median = 60 months). Developmental quotient or intellectual quotient ranged between 20 and 48 (median = 29). Behavioral disorders were seen in all patients (autistic spectrum disorder in six patients, hyperactivity in five patients). Five patients were diagnosed by polymerase chain reaction analysis, and two patients were diagnosed by the cytogenetic study. All physicians ordered FXS genetic testing for suspicious cases because of clinical manifestations.

conclusionIn the present study, a long face, large ears, macrocephaly, autistic spectrum disorder, and hyperactivity were observed in almost cases, and these characteristics might be common features in Japanese FXS patients. Our finding indicated the importance of clinical manifestations to diagnosis FXS. However, the sample size of the present study is small, and these features are also seen to patients with other disorders. We consider that genetic testing for FXS should be performed on a wider range of intellectually disabled cases.

Indexed as

CGG repeat expansionFMR1 genefragile X syndromegenetic testingintellectual disability

Identifiers

PMID33642901
PMCPMC7902172
OpenAlexW3120921181

What Socratic holds

Textmetadata
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Registered trials

None linked

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 Socratic graph.