Evidence map›Paper›PMID 37957719›Full record

ArticleJournal of medical case reports2023

Congenital erythropoietic porphyria presenting with recurrent epistaxis: a case report.

Javeriah Khan, Muhammad Usman Hashmi, Nabeeha Noor, Ahmad Jamal Khan, Oadi N Shrateh, Muhammad Junaid Tahir

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 2 countries.

Javeriah KhanPakistan Institute of Medical Sciences, Islamabad, Pakistan.
Muhammad Usman HashmiRawalpindi Medical University, Rawalpindi, Pakistan.
Nabeeha NoorSahiwal Medical College, Sahiwal, Pakistan.
Ahmad Jamal KhanLahore General Hospital, Lahore, Pakistan.
Oadi N ShratehFaculty of Medicine, Al-Quds University, Jerusalem, Palestine. oadi.shrateh@students.alquds.edu.ORCID http://orcid.org/0000-0001-7532-1544
Muhammad Junaid TahirShaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
Al-Quds University · PSLahore General Hospital · PKPakistan Institute of Medical Sciences · PKRawalpindi Medical University · PKShaukat Khanum Memorial Cancer Hospital and Research Center · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital erythropoietic porphyria (CEP), also known as pink tooth or Gunther disease, is a rare hereditary disorder caused by an enzyme mutation in the heme biosynthesis pathway, which leads to the accumulation of immature and non-physiological protoporphyrin rings in various tissues. CEP is characterized by sun-exposed bullous skin lesions, hemolytic anemia, red/brown urine, and teeth staining. CASE PRESENTATION: We present a unique case of a 10-year-old Asian boy with CEP who presented with recurrent epistaxis, an unusual presentation for this condition. Based on clinical presentation and laboratory findings, including elevated urine uroporphyrin and coproporphyrin I and III levels, microcytic anemia, a higher red cell distribution width (RDW), and a lower platelet count, a thorough assessment and detailed workup resulted in a diagnosis of CEP. The patient underwent a successful splenectomy and recovered without any complications.

conclusionThis case report aims to raise awareness among healthcare professionals about the uncommon and atypical presentation of CEP and its management options.

Indexed as

Anemia, HemolyticPorphyria, ErythropoieticChildEpistaxisHumansMaleMutationCase reportEnzyme mutationEpistaxisGunther diseaseThrombocytopenia

Identifiers

PMID37957719
PMCPMC10644557
OpenAlexW4388647737

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.