TABLE 1.
All (n = 70) | Positive Ab (n = 36) | Negative Ab (n = 34) | p-value | |
---|---|---|---|---|
Days from diagnosis to first serology test, median (IQR) | 47.50 (28.75–68.75) | 52 (31.75–67.75) | 42 (25.75–68.75) | .57 |
Number of serology tests performed, median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | .78 |
Age in years, median n (IQR) | 57 (45–66) | 57 (43.5–68) | 56 (48–65) | .97 |
Male sex, n (%) | 44 (63) | 27 (75) | 17 (50) | .03 |
Race, n (%) | .9 | |||
White | 32 (46) | 15 (42) | 17 (50) | |
Black | 19 (27) | 11 (31) | 8 (24) | |
Asian | 2 (3) | 1 (3) | 1 (3) | |
Other, multiple, or declined | 17 (24) | 9 (25) | 8 (24) | |
Hispanic Ethnicity, n (%) | 27 (39) | 12 (33) | 15 (44) | .35 |
Organ Transplant, n (%) | .15 | |||
Kidney (± pancreas) | 39 (56) | 16 (44) | 23 (68) | |
Lung | 13 (19) | 7 (19) | 6 (18) | |
Liver (± kidney) | 10 (14) | 8 (22) | 2 (6) | |
Heart (± kidney) | 8 (11) | 5 (14) | 3 (9) | |
Received kidney allograft | 43 (61) | 18 (50) | 25 (74) | .04 |
Years from transplant to diagnosis, median n (IQR) | 3.21 (0.98–8.57) | 6.08 (2.53–11.61) | 1.51 (0.32–3.74) | <.001 |
Within 1 month, n (%) | 3 (4) | 0 (0) | 3 (9) | .07 |
Within 1 year, n (%) | 18 (26) | 3 (8) | 15 (44) | .001 |
Comorbidities, n (%) | ||||
HTN | 51 (73) | 24 (67) | 27 (79) | .23 |
DM | 30 (43) | 14 (39) | 16 (47) | .49 |
CKD | 53 (76) | 23 (64) | 30 (88) | .02 |
Chronic lung disease | 15 (21) | 7 (19) | 8 (24) | .68 |
HIV | 2 (3) | 1 (3) | 1 (3) | .97 |
BMI >40 Kg/m2 | 5 (7) | 3 (8) | 2 (6) | .69 |
Baseline immunosuppression, n (%) | ||||
CNI | 52 (75) | 24 (67) | 28 (82) | .13 |
Mycophenolate | 57 (81) | 27 (75) | 30 (88) | .16 |
Steroids | 42 (60) | 19 (53) | 23 (68) | .2 |
Belatacept | 15 (21) | 5 (14) | 10 (29) | .11 |
IVIG ± Pheresis | 2 (3) | 0 (0) | 2 (6) | .14 |
mTOR | 2 (3) | 2 (6) | 0 (0) | .16 |
Thymoglobulin <3 mo | 10 (14) | 2 (6) | 8 (24) | .03 |
>2 IS agents | 42 (60) | 17 (47) | 25 (74) | .03 |
Treated ACR in 3 months prior to diagnosis, n (%) | 10 (14) | 2 (6) | 8 (24) | .03 |
Immunoglobulin level (IgG) in 3 months prior to diagnosis, median n* (IQR) | 951 (804–1222) | 867 (796–1141) | 959 (818–1222) | .4 |
Changes in Immunosuppression, n (%) | ||||
Decrease or hold antimetabolite | 46 (66) | 22 (61) | 24 (71) | .4 |
Decrease or hold CNI | 8 (11) | 3 (8) | 5 (15) | .4 |
Therapy, n (%) | ||||
Hydroxychloroquine | 39 (56) | 22 (61) | 17 (50) | .35 |
Azithromycin | 25 (36) | 14 (39) | 11 (32) | .57 |
Remdesivir | 6 (9) | 2 (5.6) | 4 (12) | .35 |
High dose corticosteroids | 14 (20) | 6 (17) | 8 (24) | .47 |
Tocilizumab | 6 (9) | 2 (6) | 4 (12) | .35 |
Convalescent plasma trial | 4 (6) | 1 (3) | 3 (9) | .28 |
Highest Level of Respiratory Support, n (%) | .77 | |||
Room air | 41 (59) | 23 (64) | 18 (53) | |
Nasal Cannula | 21 (30) | 10 (28) | 11 (32) | |
NRB/high flow/BIPAP | 5 (7) | 2 (6) | 3 (9) | |
Mechanical ventilation | 3 (4) | 1 (3) | 2 (6) | |
Highest Level of Medical Support, n (%) | .62 | |||
Outpatient | 27 (39) | 15 (42) | 12 (35) | |
Medical Ward | 37 (53) | 19 (53) | 18 (53) | |
ICU Admission | 6 (9) | 2 (6) | 4 (12) |
Immunoglobulin levels were available in 39 of 70 pts.