Evidence map›Paper›PMID 41458137›Full record

ArticleJIMD reports2026

Retrospective Case Series of Fulminant Metabolic Crisis in GSDIA: Persistent Lactic Acidosis Despite Correction of Hypoglycemia May Reflect Secondary Mitochondrial Dysfunction.

Herodes Guzman, Nicole Stewart, Lauren Mitteer, Victoria Sanders, Rebecca Ganetzky, Diva D De Leon

Abstract read
In one paragraph

Article in JIMD reports, 2026. 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
–field-weighted citation impact
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.

  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.

Herodes GuzmanDivision of Endocrinology and Diabetes Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Nicole StewartDivision of Endocrinology and Diabetes Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Lauren MitteerDivision of Endocrinology and Diabetes Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Victoria SandersDivision of Endocrinology and Diabetes Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Rebecca GanetzkyDivision of Genetics Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Diva D De LeonDivision of Endocrinology and Diabetes Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0003-1225-8087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although several advances in glycogen storage disorder (GSD) management have been made over the years, there is still increased morbidity and mortality in these patients, particularly among those with GSD type I (GSDI). Here, we describe a case series of five patients with GSDIa who presented with severe lactic acidosis and passed away without a clearly identified etiology, despite some having adequate metabolic control at baseline. Based on these presentations and emerging literature, we posit that progressive, secondary mitochondrial dysfunction plays an important role in placing GSDIa patients at increased risk for GSDI-related complications, including fulminant metabolic crisis. Both

Indexed as

GSDhyperglycemialactic acidosismitochondriamortalitythiamine

Identifiers

PMID41458137
PMCPMC12741212

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.