Table 3.
Associations of Clonal hematopoiesis (CH) Defined at Different Variant Allele Frequency (VAF) Thresholds and Clinical Features of Giant Cell Arteritis (GCA)
| CH Defined by VAF ≥ 0.5% | CH Defined by VAF ≥ 2.0% | ||||||
|---|---|---|---|---|---|---|---|
| Variable | Patients with GCA (n = 59) | Clonal Hematopoiesis (n = 36) | No Clonal Hematopoiesis (n = 23) | P-value | Clonal Hematopoiesis (n = 15) | No Clonal Hematopoiesis (n = 44) | P-value |
| Age, years | 72 (65–76) | 72 (65–80) | 71.5 (63–75) | 0.44 | 74 (70–83) | 71 (63–75) | 0.07 |
| Female | 41 (69%) | 27 (75%) | 14 (61%) | 0.26 | 10 (67%) | 31 (70%) | 0.75 |
| Disease duration, days | 458 (188–930) | 413(188–894) | 539 (206–1080) | 0.69 | 495 (257–1045) | 405 (182–857) | 0.23 |
| Max CRP, mg/L | 49 (19–104) | 47(33–113) | 55 (11.5–84) | 0.56 | 55 (40–105) | 44 (15–105) | 0.57 |
| Max ESR, mm/hr | 79 (40–104) | 51 (24–100) | 85 (69–109) | 0.03 | 28 (19–85) | 83 (45–108) | 0.03 |
| History of relapse | 21 (36%) | 15 (42%) | 6 (26%) | 0.27 | 10 (67%) | 11 (25%) | <0.01 |
| Cranial Symptoms* | 41 (69%) | 24 (67%) | 17 (74%) | 0.77 | 11 (73%) | 30 (68%) | 1.00 |
| Vision Loss | 7 (12%) | 3 (8%) | 4 (17%) | 0.41 | 0 (0%) | 7 (16%) | 0.17 |
| Constitutional # | 30 (51%) | 15 (42%) | 15 (65%) | 0.11 | 8 (53%) | 22 (50%) | 1.00 |
| Polymyalgia rheumatica | 26 (44%) | 17 (47%) | 9 (39%) | 0.60 | 8 (53%) | 18 (41%) | 0.55 |
| Limb claudication | 20 (34%) | 15 (43%) | 5 (22%) | 0.16 | 7 (47%) | 13 (30%) | 0.35 |
| TAB Performed | 45 (76%) | 26 (72%) | 19 (83%) | 0.53 | 12 (80%) | 33 (75%) | 1.00 |
| TAB Positive | 32 (71%) | 21 (81%) | 12 (63%) | 0.31 | 10 (83%) | 23 (70%) | 0.46 |
| Large-artery damage% | 30 (51%) | 21 (58%) | 9 (39%) | 0.19 | 9 (60%) | 21 (48%) | 0.55 |
| Methotrexate ever | 29 (49%) | 19 (53%) | 10 (44%) | 0.60 | 9 (60%) | 20 (45%) | 0.38 |
| Tocilizumab ever | 37 (63%) | 23 (64%) | 13 (57%) | 0.58 | 8 (53%) | 28 (64%) | 0.56 |
| Tocilizumab responder | 30 (81%) | 19 (83%) | 12 (92%) | 0.63 | 5 (63%) | 26 (93%) | 0.06 |
Defined as headaches, scalp tenderness, or jaw claudication.
Defined as fever, weight loss, or severe fatigue. TAB = temporal artery biopsy.
Defined as stenosis, occlusion, or aneurysm of aorta or primary branch artery.