Characteristics | Test Cohort (n = 161) | Validation Cohort (n = 68) | All (n = 229) | P-value∗ | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
IAHS (n = 57) | MAHS (n = 39) | MCTD (n = 8) | Mixed (n = 27) | Unclear (n = 30) | IAHS (n = 17) | MAHS (n = 14) | Mixed (n = 23) | Unclear (n = 14) | Test cohort (n = 161) | Validation cohort (n = 68) | ||
General | ||||||||||||
Gender (male/female), n | 37/20 | 24/15 | 3/5 | 16/11 | 13/17 | 10/7 | 9/5 | 14/9 | 5/9 | 93/68 | 38/30 | 0.793 |
Median age (range), y | 52(18–88) | 46(18–68) | 44(19–59) | 51(22–78) | 44(18–74) | 49(20–86) | 59(21–76) | 62(19–88) | 54(47–78) | 49(18–88) | 55(19–88) | 0.022 |
Clinical features | ||||||||||||
Fever,n | 53 | 37 | 7 | 25 | 30 | 16 | 13 | 22 | 13 | 152 | 64 | 1.000 |
Mean Tmax,°C | 39.4 | 39.4 | 39.7 | 39.4 | 39.4 | 39.1 | 39.2 | 39.3 | 39.4 | 39.4 | 39.3 | 0.109 |
Hepatomegaly | 8 | 9 | 0 | 6 | 9 | 2 | 0 | 2 | 4 | 32 | 8 | 0.140 |
Splenomegaly | 14 | 15 | 0 | 10 | 12 | 2 | 6 | 4 | 5 | 51 | 17 | 0.312 |
Lymph node enlargement | 8 | 11 | 1 | 8 | 7 | 1 | 2 | 4 | 2 | 35 | 9 | 0.136 |
Rash | 5 | 4 | 4 | 2 | 10 | 3 | 1 | 2 | 1 | 25 | 7 | 0.297 |
Jaundice | 13 | 5 | 1 | 5 | 7 | 3 | 1 | 2 | 4 | 31 | 10 | 0.412 |
Edema | 10 | 5 | 3 | 5 | 6 | 5 | 2 | 6 | 4 | 29 | 17 | 0.228 |
Bone marrow Hemophagocytosis | 41/45 | 33/37 | 5/7 | 17/26 | 24/26 | 14/14 | 11/12 | 19/19 | 10/12 | 120/141 | 54/57 | 0.060 |
Laboratory data | ||||||||||||
Ferritin ≥ 500 μg/L | 49/54 | 33/37 | 8/8 | 23/24 | 29/30 | 16/16 | 12/14 | 22/23 | 11/12 | 142/153 | 61/65 | 1.000 |
EBV DNA copies (+) | 23/45 | 11/28 | 0/7 | 12/26 | 0/25 | 6/9 | 5/10 | 10/15 | 1/9 | 46/131 | 22/43 | 0.061 |
FIB < 1.5 g/L | 15/51 | 11/33 | 1/6 | 4/24 | 3/27 | 4/14 | 4/13 | 3/20 | 2/8 | 34/141 | 13/55 | 0.944 |
ANC < 1.0 × 109/L | 12/56 | 9/36 | 0/8 | 7/25 | 2/29 | 3/17 | 5/14 | 7/23 | 4/13 | 30/154 | 19/67 | 0.144 |
Hb < 90 g/L | 25/56 | 19/38 | 1/8 | 12/25 | 6/30 | 4/17 | 6/14 | 9/23 | 6/13 | 63/157 | 25/67 | 0.693 |
Platelets <100 × 109/L | 47/56 | 31/39 | 4/8 | 21/25 | 21/30 | 15/17 | 12/14 | 15/23 | 10/13 | 124/158 | 52/67 | 0.885 |
ALT > 40 U/L | 43/56 | 29/38 | 7/8 | 13/25 | 21/29 | 10/16 | 7/14 | 17/23 | 9/13 | 113/156 | 43/66 | 0.278 |
AST > 40 U/L | 44/56 | 30/38 | 7/8 | 18/25 | 22/28 | 12/16 | 11/14 | 17/23 | 9/13 | 121/155 | 49/66 | 0.537 |
LDH > 271 U/L | 47/56 | 35/39 | 7/8 | 21/25 | 26/29 | 12/16 | 12/13 | 21/23 | 12/12 | 136/157 | 57/64 | 0.621 |
DB > 6.8 μmol/L | 31/56 | 18/37 | 2/8 | 18/25 | 14/29 | 10/16 | 4/13 | 15/23 | 9/12 | 83/155 | 39/66 | 0.448 |
TG > 3 mmol/L | 6/56 | 13/35 | 1/8 | 8/25 | 4/29 | 2/16 | 2/13 | 5/22 | 7/12 | 32/153 | 16/63 | 0.471 |
Albumin < 40 g/L | 54/56 | 35/35 | 8/8 | 24/25 | 29/30 | 16/16 | 12/13 | 23/23 | 11/12 | 150/154 | 62/64 | 1.000 |
Ca2+ < 2.20 mmol/L | 48/56 | 26/34 | 8/8 | 22/25 | 24/29 | 16/17 | 14/14 | 21/23 | 13/13 | 128/152 | 64/67 | 0.019 |