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Table 1 (abstract O15). Clinical features of the VEXAS syndrome patients with RP using TCZ

From: Abstracts from the ISSAID 2021 Periodic Congress

Patient ID

RP13

RP15

RP16

Age at diagnosis (years)

66.3

73.5

66.6

UBA1 variants p.Met41

c.122T>C: p.Met41Thr

c.122T>C: p.Met41Thr

c.121A>C: p.Met41Leu

Clinical findings at diagnosis

High-grade fever, skin rash, RP, scleritis, peritonitis, pericarditis, meningitis

High-grade fever, skin rash, RP, macrocytic anemia

High-grade fever, skin rash, GCA, RP, MDS, DVT, scleritis, airway involvement

Treatments before TCZ

PSL

PSL, MTX

PSL, AZP, colchicine

Symptoms existed at TCZ induction*

High-grade fever, myalgia, headache

Low-grade fever

High-grade fever, skin rash, RBC and PLT transfusion-dependence

PSL dose before TCZ administration

9 mg

22.5 mg

30 mg

PSL dose at last visit

1 mg

12.5 mg

12.5 mg

Duration of TCZ administration at last visit

12.0 months

6.3 months

7.1 months

Symptoms existed after 6 months

None

None

RBC transfusion-dependence, mild skin rash

  1. RP; relapsing chondritis, GCA; giant-cell arteritis, Hb; hemoglobin, DVT, deep vein thrombosis; MDS, myelodysplastic syndrome; PSL, prednisolone; MTX; methotrexate, AZP, azathioprine; TCZ, tocilizumab, RBC; red blood cells, PLT: platelets, * symptoms existed during the past 1 month before TCZ induction