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. 2022 Oct 21;8(2):e002422. doi: 10.1136/rmdopen-2022-002422

Table 1.

Baseline demographic, clinical characteristics and radiographic features of 69 (N=69) nitisinone, 69 (N=69) control as well as in all 138 patients with alkaptonuria enrolled in the Suitability of Nitisinone in Alkaptonuria 2 study. Homogentisic acid (HGA), clinical Alkaptonuria Severity Score Index (cAKUSSI). Spine pain, osteoarticular disease in spine, kyphosis, scoliosis, eye ochronosis and ear ochronosis values are presented as individual cAKUSSI subscores

Nitisinone Control Total
All Male Female All Male Female All Male Female
Patient number N=69 N=45 N=24 N=69 N=40 N=29 N=138 N=85 N=53
Age (years) 49 (11.3) 47.4 (11.9) 51.9 (9.6) 47.6 (10.1) 48.1 (9.9) 46.9 (10.5) 48.3 (10.7) 47.7 (10.9) 49.2 (10.3)
Height (cm) 166.3 (9.2) 170.3 (7.1)*** 158.6 (7.9) 167 (9.5) 172.5 (7.6)*** 160.1 (6.8) 166.8 (9.4) 171.3 (7.4)*** 159.4 (7.3)
Weight (kg) 74.8 (14.8) 79.2 (12.6)*** 66.3 (15.1) 74.1 (15.6) 80.4 (13.3)*** 65.6 (14.6) 74.4 (15.1) 79.8 (12.9)*** 65.9 (14.7)
Body mass index (kg/m2) 27 (4.4) 27.3 (4.2) 26.2 (4.8) 26.4 (4.6) 27.0 (4.1) 25.5 (5.1) 26.7 (4.5) 27.2 (4.2) 25.8 (4.9)
Serum HGA (mmol/L) 30.3 (11) 31.7 (11.2) 27.9 (10.4) 28.3 (8.7) 29.1 (7.7) 27.1 (9.8) 29.3 (9.9) 30.4 (9.7) 27.5 (10.0)
Urinary HGA24 (mmol) 3.5 (1.3) 3.7 (1.3) 3.1 (1.3) 3.5 (1.4) 3.9 (1.2)* 3.1 (1.5) 3.5 (1.3) 3.8 (1.2)** 3.1 (1.4)
cAKUSSI 87 (34.2) 90.9 (35.1) 79.8 (31.9) 80.5 (33.4) 87.1 (31.2) 71.3 (34.7) 83.8 (33.8) 89.1 (33.2)* 75.2 (33.4)
mAKUSSI 56.7 (26.7) 60.2 (28.8) 50.3 (21.3) 54.1 (25) 58.3 (25.1) 48.5 (24.0) 55.4 (25.8) 59.2 (27.0)* 49.3 (22.6)
Spinal stenosis 3.8 (2.1) 3.8 (2.1) 3.8 (2.2) 3.5 (2.3) 3.7 (2.2) 3.1 (2.4) 3.6 (2.2) 3.7 (2.1) 3.4 (2.3)
Calcifications 2.9 (1.8) 3.0 (1.9) 2.7 (1.8) 2.6 (1.8) 2.8 (1.7) 2.4 (1.9) 2.8 (1.8) 2.9 (1.8) 2.5 (1.8)
Vacuum phenomena 2.3 (1.9) 2.4 (2.0) 2.3 (1.6) 1.9 (1.6) 2.0 (1.5) 1.8 (1.7) 2.1 (1.7) 2.2 (1.8) 2.0 (1.7)
Osteophytes/hyperostosis 3.1 (2.1) 3.1 (2.1) 3.1 (2.1) 2.8 (2.1) 3.1 (2.1) 2.5 (2.2) 3.0 (2.1) 3.1 (2.1) 2.8 (2.2)
Fusions 0.6 (1.1) 0.5 (0.9) 0.8 (1.4) 0.5 (1.1) 0.4 (0.8) 0.7 (1.3) 0.5 (1.1) 0.4 (0.9) 0.7 (1.3)
Spine pain 4.6 (2.7) 4.4 (2.7) 5.0 (2.8) 4.7 (2.4) 4.3 (2.3) 5.2 (2.5) 4.7 (2.5) 4.4 (2.5) 5.1 (2.6)
Osteoarticular disease spine 13.6 (8.5) 13.7 (8.6) 13.5 (8.6) 12.1 (8.5) 12.1 (8.1) 12.1 (9.2) 12.9 (8.5) 12.9 (8.4) 12.8 (8.9)
Kyphosis 0.7 (1.4) 0.5 (1.3) 1.0 (1.4) 0.5 (1.2) 0.3 (0.9) 0.7 (1.5) 0.6 (1.3) 0.4 (1.1) 0.9 (1.5)
Scoliosis 2.0 (0.7) 1.9 (0.5) 2.2 (1.0) 2.0 (0.6) 2.1 (0.7) 2.0 (0.5) 2.0 (0.7) 2.0 (0.6) 2.1 (0.8)
Eye ochronosis 17.3 (9.2)# 17.3 (8.9) 17.2 (9.8)# 14.1 (9.6) 15.8 (9.7) 11.7 (9.1) 15.7 (9.5) 16.6 (9.3) 14.2 (9.7)
Ear ochronosis 4.1 (3.0) 4.2 (2.9) 4.1 (3.1) 3.9 (2.9) 4.2 (2.7) 3.5 (3.1) 4.0 (2.9) 4.2 (2.8) 3.8 (3.1)

Male versus female comparison *p<0.05, **p<0.01, ***p<0.001. Modified Alkaptonuria Severity Score Index (mAKUSSI).

mAKUSSI, Modified Alkaptonuria Severity Score Index.