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. 2023 Jan 24;329(4):318–324. doi: 10.1001/jama.2022.24836

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.

a

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.

b

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.

c

Clinical findings absent on ICD-10 codes but present on chart review.

d

Participant with a highly suspicious variant of uncertain significance; not included in total percentages.