Molecular diagnostic yield for Blau syndrome in previously diagnosed juvenile idiopathic arthritis with uveitis or cutaneous lesions

Rheumatology (Oxford)Published Diagnostic yield study

Authors' conclusion

Targeted NOD2 sequencing established the molecular diagnosis of Blau syndrome in nearly one-fifth of these cases and provided clinically relevant information for patient-care decisions.

Study context

Population
Previously diagnosed juvenile idiopathic arthritis (JIA) with symptoms and signs suspected of Blau syndrome, including at least uveitis or cutaneous lesions in addition to arthritis (median age 5 years; female 62.6%), 1 May 2008 to 1 June 2021
Participants
123 participants
Outcome
Molecular diagnostic yield of targeted NOD2 sequencing for Blau syndrome (pathogenic or likely pathogenic variants)
Methodological detailstargeted next-generation sequencing of NOD2
  • Targeted next-generation sequencing of NOD2

Performance

As reported in the abstract

Positive molecular diagnosis of Blau syndrome

Diagnostic yield of targeted NOD2 sequencing

21.1%

95% CI 14.9%, 29.2%

Further findings

Changes in clinical management and treatment among those with a molecular diagnosis

Changes in clinical management and treatment
38.5%

Predictors of a higher diagnostic yield

Predictors associated with a higher diagnostic yield
9

Original publication

Molecular diagnostic yield for Blau syndrome in previously diagnosed juvenile idiopathic arthritis with uveitis or cutaneous lesions. Rheumatology (Oxford). Published 6 November 2023. doi:10.1093/rheumatology/kead596

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