Table 3. Clinical Findings in UBA1 Pathogenic or Likely Pathogenic Variant Carriers.
Participant | Clinical diagnoses | Clinical characteristicsa | Laboratory findingsb | Medications (ever) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Attributed to VEXAS | Rheumatologic | Hematologic | Autoimmune involvement | Dermatologic involvement | Pulmonary involvement | Hematologic involvement | Hemoglobin, g/dL (nadir) | Platelet count, ×109/L (nadir) | MCV, fL (peak) | ESR, mm/h (peak) | Bone marrow biopsy results | Specialist visits | ||
1 | None | None | None | Yes | Yesc | Yesc | Yes | 10.2 | 82 | 115.5 | 104 | NA | NA | Methylprednisone |
2 | Yes | None | Myelofibrosis,c MDS | No | Yes | Yes | Yes | 5.5 | 8 | 100.9 | NA | Cytoplasmic vacuoles (myeloid and erythroid) and megaloblastic changes | Hematologist, pulmonologist | Ruxolitinib |
3 | Yes | None | MDS | Yes | No | Yes | Yes | 6 | 28 | 119 | NA | Cytoplasmic vacuoles (myeloid) and megaloblastic changes | Hematologist, pulmonologist | Prednisone |
4 | Yes | Giant cell arteritisc | None | Yes | Yes | Yes | Yes | 7.8 | 118 | 126.4 | 106 | NA | Rheumatologist, pulmonologist | Prednisone |
5 | Yes | Dermatomyositis | MDS | Yesc | Yes | No | Yes | 7.5 | 55 | 116 | 17 | Cytoplasmic vacuoles (myeloid) and megaloblastic changes | Hematologist | Methylprednisone, prednisone, mycophenolate mofetil |
6 | Yes | Psoriasis,c polymyalgia rheumaticac | Chronic myeloid leukemia,c MGUSc | Yes | Yes | Yes | Yes | 7.5 | 18 | 126 | NA | Rheumatologist, hematologist, pulmonologist | Colhicine, prednisone, methylprednisolone | |
7 | None | None | None | Yes | Yes | Yes | Yes | 10 | 125 | 115.8 | NA | NA | Rheumatologist, hematologist, pulmonologist | |
8 | Yes | Sarcoidosis | MDSc | Yes | Yes | Yes | Yes | 7.3 | 102 | 109.3 | 107 | Cytoplasmic vacuoles (myeloid) | Rheumatologist, hematologist, pulmonologist | Methylprednisone, prednisone |
9 | None | None | None | Yesc | No | Yes | Yes | 7.4 | 91 | 93.1 | 37 | Cytoplasmic vacuoles (myeloid) and megaloblastic changes | Hematologist, pulmonologist | Methylprednisone, prednisone |
10 | None | None | None | Yesc | Yes | Yes | Yes | 9 | 178 | 97.8 | NA | NA | Rheumatologist, pulmonologist | Prednisone |
11 | None | None | None | No | No | Yes | Yes | 7.9 | 83 | 97.3 | NA | NA | Pulmonologist | |
12d | None | Granulomatosis with polyangiitisc | None | Yes | Yes | No | Yes | 13.9 | 86 | 95.9 | NA | NA | Rheumatologist, hematologist | |
Total, % | 55 | 36 | 45 | 82 | 73 | 91 | 100 | Mean (SD), 8.3 (2.2) | Mean (SD), 81.2 (48.7) | Mean (SD), 109.4 (12.0) |
Abbreviations: MDS, myelodysplastic syndrome; MGUS, monoclonal gammopathy of undetermined significance.
Based on International Classification of Diseases, Tenth Revision (ICD-10) codes and clinical review. Hematologic involvement was defined as anemia and/or thrombocytopenia. Dermatologic and pulmonary diagnoses listed when possible, with details for ICD coding and clinical diagnoses in eTables 1-2 in Supplement 1.
References ranges: hemoglobin, 12-17 g/dL; platelet count, 150-400 ×109/L; mean corpuscular volume (MCV), 80-95 fL; erythrocyte sedimentation rate (ESR), 0-30 mm/h. Mean (SD) patient values, excluding patient with highly suspicious variant: hemoglobin, 7.8 (1.5) g/dL; MCV, 110.6 (11.7) fL; platelet count, 80.7 (51.0) ×109/L.
Clinical findings absent on ICD-10 codes but present on chart review.
Participant with a highly suspicious variant of uncertain significance; not included in total percentages.