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Table 2 Gender differences in HHT involvement

From: Gender differences in hereditary hemorrhagic telangiectasia severity

 

Female

(n = 142)

Male

(n = 100)

P value

Hepatic assessment

Hepatic manifestations

10 (7.1%)

0

0.006

 Ischemic cholangitis/right-upper abdominal pain

6 (4.2%)

0

0.044

 Heart failure*

8 (5.6%)

0

0.022

 Hepatic encephalopathy

0

0

TTE

139 (97.9%)

97 (97%)

0.693

 Cardiac index, L/min/m2 (mean ± SD)

3.21 ± 0.87

2.87 ± 0.75

0.010

 Cardiac Index > 4

17 (11.9%)

4 (4%)

0.055

Abdominal CT

126 (88.7%)

90 (90%)

0.754

Hepatic involvement

85 (59.8%)

47 (47%)

0.024

 Arteriovenous shunt

40 (28.2%)

13 (13%)

0.026

 Bile duct dilatation

7 (4.9%)

0

0.043

 Portovenous shunt

13 (9.1%)

9 (9%)

0.590

 Arterioportal shunt

28 (19.7%)

19 (19%)

0.417

 Hepatic telangiectasia

58 (40.8%)

27 (27%)

0.182

 FNH/NRH

10 (7%)

5 (5%)

0.827

 Tortuous or enlarged hepatic artery

30 (21.1%)

13 (13%)

0.346

Other intrabdominal involvement at abdominal CT

46 (32.4%)

36 (36%)

0.639

 Pancreatic

27 (19%)

19 (19%)

0.514

 Splenic

13 (9.1%)

10 (10%)

0.912

 Renal

6 (4.2%)

6 (6%)

0.675

 Arterial

1 (0.7%)

2 (2%)

0.582

Pulmonary assessment

Pulmonary Manifestations

14 (9.9%)

9 (9%)

0.822

  Dyspnea

7 (4.9%)

2 (2%)

0.313

  Respiratory failure

5 (3.5%)

1 (1%)

0.405

  Hemoptysis

0

2 (2%)

0.170

  Ischemic stroke

6 (4.2%)

5 (5%)

0.765

  Abscess

4 (2.8%)

2 (2%)

1.000

TTE

139 (97.9%)

97 (97%)

0.693

  R/L shunt contrast TTE

99 (69.7%)

62 (62%)

0.128

  Shunt ≥2

53 (37.3%)

24 (24%)

0.022

  sPAP at TTE, mmHg (mean ± SD)

32.92 ± 10.21

31.28 ± 10.07

0.387

  sPAP> 40 mmHg

15 (10.5%)

5 (5%)

0.164

Thoracic CT

57 (40.1%)

24 (24%)

0.007

  Pulmonary AVMs

50 (35.2%)

23 (23%)

0.036

CNS assessment

CNS manifestations

3 (2.1%)

1 (1%)

0.644

  Cerebral haemorrhage

1 (0.7%)

1 (1%)

1.000

  Headache

2 (1.4%)

0

0.513

CNS imaging study

49 (34.5%)

42 (42%)

0.257

  Pathological vascular imaging

7 (4.9%)

5 (5%)

0.706

Gastrointestinal assessment

 Suspected and studied

34 (23.9%)

24 (24%)

0.992

  GI telangiectasia

29 (20.4%)

23 (23%)

0.223

 Location of telangiectasia:

  Stomach

25 (17.6%)

17 (17%)

0.903

  Duodenum

14 (9.8%)

21 (21%)

0.015

  Colon

4 (2.8%)

6 (6%)

0.326

  Ileum-Jejunum**

10 (7.1%)

7 (7%)

0.129

  1. Abbreviations: AVM arteriovenous malformation, CT computed tomography, sPAP systolic pulmonary artery pressure, FNH/NRH focal nodular hyperplasia/nodular regenerative hyperplasia, TTE Transthoracic echocardiography, R/L Right-left, CNS central nervous system, GI gastrointestinal;
  2. * Heart failure due to liver involvement
  3. ** Video capsule endoscopy was performed in 12 women and 11 men