Table 1.
Variable |
Initially misdiagnosed group |
Initially correctly diagnosed group |
||||||
---|---|---|---|---|---|---|---|---|
Total | mXLAS | fXLAS | ARAS | Total | mXLAS | fXLAS | ARAS | |
Case number |
52 |
17 |
23 |
12 |
52 |
17 |
23 |
12 |
Sex (male/female) |
22/30 |
- |
- |
5/7 |
23/29 |
- |
- |
6/6 |
Age (years) |
|
|
|
|
|
|
|
|
At presentation |
21.3 ± 12.8 |
20.1 ± 12.0 |
24.2 ± 14.0 |
17.3 ± 10.9 |
18.9 ± 12.3 |
14.6 ± 12.4 |
18.6 ± 11.4 |
25.3 ± 11.9 |
At misdiagnosis |
23.4 ± 12.5 |
20.2 ± 11.0 |
27.7 ± 13.6 |
19.7 ± 10.5 |
|
|
|
|
At final diagnosis |
27.6 ± 12.6* |
24.9 ± 12.0 |
31.6 ± 13.5* |
24.0 ± 10.2 |
22.0 ± 11.2 |
19.4 ± 10.3 |
21.4 ± 11.8 |
26.8 ± 10.5 |
Clinical manifestation |
|
|
|
|
|
|
|
|
Hematuria alone |
5 |
0 |
5 |
0 |
7 |
0 |
7 |
0 |
With proteinuria (>0.4 g/day) |
17 |
4 |
6 |
7 |
18 |
4 |
10 |
4 |
With hypoalbuminemia (<35 g/L) |
17 |
6 |
8 |
3 |
18 |
9 |
4 |
5 |
With CKD 3+ (eGFR <60 mL/min) |
12 |
7 |
4 |
1 |
9 |
4 |
2 |
3 |
Specific diagnostic criteria |
|
|
|
|
|
|
|
|
Positive family history (proband) |
39 |
13 |
18 |
8 |
37 |
11 |
19 |
7 |
Renal/skin collagen |
30*b |
14 |
11* |
5* |
43 |
16 |
17 |
10 |
Electron microscopic changes |
30**c |
10 |
9** |
11 |
45 |
12 |
22 |
11 |
High tone deafness |
10* |
6* |
3 |
1* |
24 |
13 |
4 |
7 |
Ocular defect |
11 |
3 |
5 |
3 |
6 |
1 |
1 |
4 |
Non-specific diagnostic clues |
|
|
|
|
|
|
|
|
Glomerular sclerosis |
24 |
9 |
9 |
6 |
19 |
8 |
6 |
5 |
Interstitial foam cell |
30 |
11 |
9 |
10 |
31 |
13 |
10 |
8 |
Thickness of Bowman capsule |
45 |
17 |
17 |
11 |
46 |
16 |
18 |
12 |
Immunofluorescence paucity |
38 |
14 |
15 |
9 |
43 |
16 |
16 |
11 |
Progressive proteinuria |
37 |
15 |
11 |
11 |
35 |
15 |
10 |
10 |
Progressive hypoalbuminemia | 28 | 12 | 9 | 7 | 18 | 10 | 2 | 6 |
amXLAS, male X-linked Alport syndrome; fXLAS, female X-linked Alport syndrome; ARAS, autosomal recessive Alport syndrome.
b Chi-squared test, p < 0.05.
c Chi-squared test, p < 0.01.