Table 1 Characteristics of children with IEI. Comparison between people with Disease-causing variants versus those with variants of unknown significance and negative results in genetic testing.
Variable | All n = 92 | Disease-causing findings n = 37 (40.2%) | Negative or VUS n = 55 (59.7%) | p value |
---|---|---|---|---|
Gender male n (%) | 46 (50%) | 18 (48.6%) | 28 (50.9%) | 0.803 |
Age at genetic testing, years: median (IQR) | 4.38 (2.0–12.8) | 5.50 (2.1–12.3) | 4.07 (2.0–13.0) | 0.621 |
Age at symptom onset, years: median (IQR) | 1.75 (0.7–4.0) | 1.00 (0.2–2.0) | 3.0 (0.9–7.0) | 0.001 |
Time from onset to genetic testing, years: median (IQR) | 1.67 (0.3–4.8) | 4.12 (0.3–10) | 1.07 (0.3–2.3) | 0.001 |
Deceased | 10 (9.2%) | 7 (18.9%) | 3 (5.4%) | 0.046 |
Similar family history | 19 (20.6%) | 15 (40.5%) | 4 (7.2%) | 0.000 |
Genetic test performed | ||||
Gene panel | 43 (46.7%) | 21 (56.7%) | 22 (40.0%) | 0.249 |
WES | 29 (31.5%) | 10 (27.0%) | 19 (34.5%) | 0.447 |
WGS | 20 (21.7%) | 7 (18.9%) | 13 (23.6%) | 0.591 |
Clinical IEI diagnosis category7 | ||||
Autoinflammatory disorders | 25 (27.2%) | 4 (10.8%) | 21 (38.1%) | 0.004 |
Combined immunodeficiencies with associated or syndromic features | 8 (8.7%) | 3 (8.1%) | 5 (9.0%) | 0.882 |
Complement Deficiencies | 1 (1.1%) | 1 (2.6%) | 0 | 0.413 |
Congenital defects of phagocyte number or function | 19 (20.7%) | 13 (35.1%) | 6 (10.9%) | 0.011 |
Defects in intrinsic and innate immunity | 1 (1.1%) | 1 (2.7%) | 0 | 0.220 |
Diseases of immune dysregulation | 18 (19.6%) | 8 (21.6%) | 10 (18.1%) | 0.683 |
Immunodeficiencies affecting cellular and humoral immunity | 4 (4.3%) | 0 | 4 (7.2%) | 0.146 |
Phenocopies of inborn errors of immunity | 4 (4.3%) | 3 (8.1%) | 1 (1.8%) | 0.299 |
Predominantly antibody deficiencies | 12 (13%) | 4 (10.8%) | 8 (14.5%) | 0.756 |
Impact of genetic testing | ||||
Overall impact of genetic testing | 40 (43.5%) | 31 (83.7%) | 9 (16.3%) | 0.000 |
Specific monitoring | 40 (43.5%) | 31 (83.7%) | 9 (16.3%) | 0.000 |
Specific treatment | 35 (38.0%) | 27 (72.9%) | 8 (14.54%) | 0.000 |
HSTC successful/waiting | 13 (14.1%) | 13 (35.1%) | 0 | 0.000 |