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Table 5 Colchicine outcome in children with a clinical AID diagnosis without pathogenic gene variants

From: Colchicine – an effective treatment for children with a clinical diagnosis of autoinflammatory diseases without pathogenic gene variants

 

FMF

N = 9

CAPS

N = 8

PFAPA

N = 14

unclassified AID

N = 2

Complete response defined as PGA ≤2 cm plus CRP ≤0.5 mg/dL and/or SAA ≤10 mg/L, % (confidence interval)

 First follow-up, N (tested)

43 (14.3; 76.4), 3 (7/9)

43 (14.3; 82.4), 3 (7/8)

75 (58.3; 100.0), 9 (12/14)

100 (100.0; 100.0), 2 (2/2)

 Last follow-up, N (tested)

63 (37.5; 95.9), 5 (8/9)

50 (25.0; 89.2), 4 (8/8)

54 (30.8; 81.4), 7 (13/14)

50 (50.0; 100.0), 1 (2/2)

Partial response defined as PGA > 2 ≤ 5 cm plus CRP > 0.5 mg/dL ≤5 mg/dL and/or SAA > 10 mg/L ≤ 50 mg/L, % (confidence interval)

 First follow-up, N (tested)

57 (28.6; 90.7), 4 (7/9)

43 (14.3; 82.4), 3 (7/8)

17 (0.0; 42.0), 2 (12/14)

0 (0.0; 85.6), 0 (2/2)

 Last follow-up, N (tested)

37 (12.5; 70.9), 3 (8/9)

38 (12.5; 76.7), 3 (8/8)

31 (7.7; 58.3), 4 (13/14)

50 (50.0; 100.0), 1 (2/2)

No response defined as PGA > 5 and/or CRP > 5 mg/dL and/or SAA > 50 mg/L, % (confidence interval)

 First follow-up, N (tested)

0, 0 (7/9)

14 (0.0; 53.8), 1 (7/8)

8 (0.0; 33.6), 1 (12/14)

0, 0 (2/2)

 Last follow-up, N (tested)

0, 0 (8/9)

12 (0.0; 51.7), 1 (8/8)

15 (0.0; 42.9), 2 (13/14)

0, 0 (2/2)

Requirement of anti-IL-1 treatment, N (%)

 First follow-up

  

1 (7)

 

 Last follow-up

  

1 (7)

 

Colchicine impact of flares, N (%) reduced flare frequency or shorter flares or lower/no fever

 First follow-up, (tested)

7 (78), (9/9)

5 (71), (7/8)

12 (92), (13/14)

1 (50), (2/2)

 Last follow-up, (tested)

9 (100), (9/9)

7 (100), (7/8)

10 (83), (12/14)

2 (100), (2/2)

  1. Abbreviations: AID autoinflammatory disease, FMF Familial Mediterranean Fever, CAPS Cryopyrin-associated periodic syndromes, PFAPA periodic fever, aphthosis, pharyngitis and adenitis, PGA Physician global assessment, CI confidence interval (95 CL lower; upper), cm centimetre, CRP c reactive protein, SAA serum amyloid A, mg milligram, dL decilitre, L litre