Table 8.

WASP expression and response to therapy



WASP


Positive
Negative
P
Stem cell transplantation, n  3   12   —  
    Mean age, y   12.4   12.8   .017  
    Age range, y   0.25-19   0.5-14   —  
    Alive, n   3   11   —  
    Dead, n   0   1   —  
Splenectomy, n  5   5   —  
    Mean age at present, y   17.0   5.0   .017  
    Range, y   0-59   1.0-8.2   —  
    Mean age at splenectomy, y   8.8   6.0   —  
    Range, y   2-23   0.3-9   —  
    Alive, n   5   2   —  
    Dead, n   0   3  —  
    Good response, n (%)*  2 (40)   3 (60)   —  
    Partial response, n (%)*  3 (60)   2 (40)   —  
    No response, n   0   0   —  
    Pneumococcal sepsis/meningitis after splenectomy, n   2   3   —  
High-dose IVIG, n  13   11   —  
    Good response, n*  0   0   —  
    Transient response, n (%)   4 (31)   2 (18)   —  
    No response, n (%)   9 (69)   9 (82)   —  
Steroids, n  15   11   —  
    Good response, n*  0   0   —  
    Transient response, n (%)   8 (53)   2 (18)   —  
    No response, n (%)
 
7 (47)
 
9 (82)
 

 


WASP


Positive
Negative
P
Stem cell transplantation, n  3   12   —  
    Mean age, y   12.4   12.8   .017  
    Age range, y   0.25-19   0.5-14   —  
    Alive, n   3   11   —  
    Dead, n   0   1   —  
Splenectomy, n  5   5   —  
    Mean age at present, y   17.0   5.0   .017  
    Range, y   0-59   1.0-8.2   —  
    Mean age at splenectomy, y   8.8   6.0   —  
    Range, y   2-23   0.3-9   —  
    Alive, n   5   2   —  
    Dead, n   0   3  —  
    Good response, n (%)*  2 (40)   3 (60)   —  
    Partial response, n (%)*  3 (60)   2 (40)   —  
    No response, n   0   0   —  
    Pneumococcal sepsis/meningitis after splenectomy, n   2   3   —  
High-dose IVIG, n  13   11   —  
    Good response, n*  0   0   —  
    Transient response, n (%)   4 (31)   2 (18)   —  
    No response, n (%)   9 (69)   9 (82)   —  
Steroids, n  15   11   —  
    Good response, n*  0   0   —  
    Transient response, n (%)   8 (53)   2 (18)   —  
    No response, n (%)
 
7 (47)
 
9 (82)
 

 

WASP-positive numbers represent WASP detectable by Western blot. WASP-negative numbers represent WASP found absent or truncated by Western blot. — indicates not applicable.

*

Good response indicates a platelet count greater than 100 × 109/L; partial response, a platelet count less than 100 × 109/L.

Two patients died of ICH, and 1 died of complications related to BMT.

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