Table 3.
Operating characteristics of tryptase staining for diagnosis of EoE
Tryptase density (96 mast cells/mm2)† |
Eosinophil count (50 eos/hpf)‡ |
Eosinophil count (15 eos/hpf)# |
Tryptase and eosinophils (96 cells/mm2; 50 eos/hpf) |
Tryptase and eosinophils (96 cells/mm2; 15 eos/hpf) |
|
---|---|---|---|---|---|
ROC AUC | 0.84 | 0.89 | 0.89 | 0.96 | 0.96 |
Sensitivity (%) | 80 | 80 | 98 | 91 | 98 |
Specificity (%) | 80 | 84 | 19 | 95 | 63 |
Positive LR | 4 | 5 | 1.2 | 18 | 2.6 |
Negative LR | 0.25 | 0.24 | 0.11 | 0.09 | 0.03 |
Abbreviations: ROC AUC = receiver operator characteristic area under the curve; LR = likelihood ratio; eos/hpf = eosinophils per high-power field.
Parameters were calculated for tryptase staining alone, eosinophil count alone, and tryptase staining with eosinophil count combined in comparison to consensus guidelines for diagnosis of EoE as the gold standard (1).
This is the tryptase density that maximizes sensitivity and specificity in this dataset.
This is the eosinophil count that maximizes sensitivity and specificity in this dataset. An eosinophil count of 50 eos/hpf equals an eosinophil density of 207 eos/mm2 assuming a hpf size of 0.24 mm2.
An eosinophil count of 15 eos/hpf equals an eosinophil density of 63 eos/mm2 assuming a hpf size of 0.24 mm2.