Table 2.

Clinical findings of study participants according to VHL genotype




VHL 598C>T homozygote n = 40-43

VHL 598C > T heterozygote n = 8-9

Unaffected n = 70-77

P*
Demographic information     
    Mean age ± SE, y   49 ± 1   45 ± 3   50 ± 2   .7  
    Female, no. (%)   32 (74.4)   6 (66.7)   38 (49.4)   .008  
Medical history     
    Treated by phlebotomy, no. (%)   41 (95.3)   0 (0)   0 (0)   < .0005  
    Headache, no. (%)   37 (86.0)   5 (62.5)   36 (46.8)   < .0005  
    Dizziness, no. (%)   25 (58.1)   1 (12.5)   13 (16.9)   < .0005  
    Dyspnea on exertion, no. (%)   24 (55.8)   1 (11.1)   11 (14.3)   < .0005  
    Thrombosis, no. (%)   11 (25.6)   0 (0)   1 (1.3)   < .0005  
    Bleeding, no. (%)   14 (32.6)   0 (0)   7 (9.1)   .001  
    Peptic ulcer disease, no. (%)   13 (30.2)   0 (0)   9 (11.7)   .012  
    Cancer, no. (%)   0 (0)   0 (0)   1 (1.3)   .5  
Physical examination     
    Mean weight ± SE, kg   60.9 ± 1.9   69.2 ± 4.0   65.7 ± 1.4   .042  
    Mean height ± SE, m   1.62 ± 1.05   1.60 ± 2.22   1.62 ± 0.77   .9  
    Mean body mass index ± SE, kg/m2  23.2 ± 0.6   27.0 ± 1.4   24.9 ± 0.5   .038  
    Obesity, body mass index ≥ 30 kg/m2 (%)   1 (2.4)   1 (11.1)   9 (12.0)   .095  
    Mean systolic BP ± SE, mmHg   120 ± 3   119 ± 6   133 ± 2   .001  
    Mean diastolic BP ± SE, mmHg   79 ± 2   78 ± 5   87 ± 2   .002  
    Plethora, no. (%)   33 (76.7)   1 (11.1)   9 (11.7)   < .0005  
    Varicose veins, no. (%)   32 (74.4)   2 (22.2)   30 (39.0)   < .0005  
    Edema, no. (%)   14 (32.6)   1 (11.1)   5 (6.6)   < .0005  
    Clubbing, no. (%)   6 (14.0)   0 (0)   1 (1.3)   .005  
    Splenomegaly, no. (%)   3 (7.0)   0 (0)   0 (0)   .020  
Laboratory data     
    Mean hemoglobin ± SE, g/dL   18.3 ± 0.3   13.3 ± 0.4   12.9 ± 0.2   < .0005  
    Mean hematocrit ± SE, %   59.3 ± 0.9   41.3 ± 1.9   40.4 ± 0.7   < .0005  
    Mean white blood cells ± SE, no./μL   5300 ± 200   7900 ± 500   6600 ± 200   < .0005  
    Mean platelets ± SE, no./μL   167 000 ± 10 000   265 000 ± 22 000   238 000 ± 8 000   < .0005  
    Geometric mean ferritin,§ μg/L, (SE range)
 
67 (37-122)
 
20 (12-34)
 
30 (22-41)
 
.3
 



VHL 598C>T homozygote n = 40-43

VHL 598C > T heterozygote n = 8-9

Unaffected n = 70-77

P*
Demographic information     
    Mean age ± SE, y   49 ± 1   45 ± 3   50 ± 2   .7  
    Female, no. (%)   32 (74.4)   6 (66.7)   38 (49.4)   .008  
Medical history     
    Treated by phlebotomy, no. (%)   41 (95.3)   0 (0)   0 (0)   < .0005  
    Headache, no. (%)   37 (86.0)   5 (62.5)   36 (46.8)   < .0005  
    Dizziness, no. (%)   25 (58.1)   1 (12.5)   13 (16.9)   < .0005  
    Dyspnea on exertion, no. (%)   24 (55.8)   1 (11.1)   11 (14.3)   < .0005  
    Thrombosis, no. (%)   11 (25.6)   0 (0)   1 (1.3)   < .0005  
    Bleeding, no. (%)   14 (32.6)   0 (0)   7 (9.1)   .001  
    Peptic ulcer disease, no. (%)   13 (30.2)   0 (0)   9 (11.7)   .012  
    Cancer, no. (%)   0 (0)   0 (0)   1 (1.3)   .5  
Physical examination     
    Mean weight ± SE, kg   60.9 ± 1.9   69.2 ± 4.0   65.7 ± 1.4   .042  
    Mean height ± SE, m   1.62 ± 1.05   1.60 ± 2.22   1.62 ± 0.77   .9  
    Mean body mass index ± SE, kg/m2  23.2 ± 0.6   27.0 ± 1.4   24.9 ± 0.5   .038  
    Obesity, body mass index ≥ 30 kg/m2 (%)   1 (2.4)   1 (11.1)   9 (12.0)   .095  
    Mean systolic BP ± SE, mmHg   120 ± 3   119 ± 6   133 ± 2   .001  
    Mean diastolic BP ± SE, mmHg   79 ± 2   78 ± 5   87 ± 2   .002  
    Plethora, no. (%)   33 (76.7)   1 (11.1)   9 (11.7)   < .0005  
    Varicose veins, no. (%)   32 (74.4)   2 (22.2)   30 (39.0)   < .0005  
    Edema, no. (%)   14 (32.6)   1 (11.1)   5 (6.6)   < .0005  
    Clubbing, no. (%)   6 (14.0)   0 (0)   1 (1.3)   .005  
    Splenomegaly, no. (%)   3 (7.0)   0 (0)   0 (0)   .020  
Laboratory data     
    Mean hemoglobin ± SE, g/dL   18.3 ± 0.3   13.3 ± 0.4   12.9 ± 0.2   < .0005  
    Mean hematocrit ± SE, %   59.3 ± 0.9   41.3 ± 1.9   40.4 ± 0.7   < .0005  
    Mean white blood cells ± SE, no./μL   5300 ± 200   7900 ± 500   6600 ± 200   < .0005  
    Mean platelets ± SE, no./μL   167 000 ± 10 000   265 000 ± 22 000   238 000 ± 8 000   < .0005  
    Geometric mean ferritin,§ μg/L, (SE range)
 
67 (37-122)
 
20 (12-34)
 
30 (22-41)
 
.3
 
*

P for comparison between VHL 598C>T homozygotes and unaffected subjects by analysis of variance or by Pearson chi square. Only systolic blood pressure (P = .040), diastolic blood pressure (P = .044), and white blood cells (P = .033) differed significantly between heterozygotes and unaffected participants.

Analysis of variance model in which weight is adjusted for age and sex.

Analysis of variance models in which blood pressure is adjusted for pulse and body mass index.

§

Analysis of variance model in which ferritin is adjusted for age, sex, and amount of blood removed by phlebotomy.

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