VEXAS syndrome: a diagnostic puzzle.

autoinflammation somatic mutations systemic inflammation

Journal

RMD open
ISSN: 2056-5933
Titre abrégé: RMD Open
Pays: England
ID NLM: 101662038

Informations de publication

Date de publication:
08 2023
Historique:
received: 26 06 2023
accepted: 12 07 2023
medline: 4 8 2023
pubmed: 3 8 2023
entrez: 2 8 2023
Statut: ppublish

Résumé

The VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) is an adult-onset systemic autoinflammatory condition that is caused by an acquired deficiency of the UBA1 gene in hematopoietic progenitor cells. The clinical spectrum of the VEXAS syndrome currently comprises a broad range of phenotypes such as vasculitis, relapsing polychondritis and Sweet's syndrome. In the past, VEXAS patients have left clinicians puzzled and the true nature of this disease has not been captured until late 2020. This viewpoint describes the relevant clinical features of the VEXAS syndrome and reviews different approaches to establish the diagnosis. Finally, future directions within the field of systemic inflammatory diseases caused by somatic mutations are being discussed.

Identifiants

pubmed: 37532466
pii: rmdopen-2023-003332
doi: 10.1136/rmdopen-2023-003332
pmc: PMC10401208
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Kidney Int. 2022 Jun;101(6):1295-1297
pubmed: 35597594
Arthritis Rheumatol. 2021 Oct;73(10):1886-1895
pubmed: 33779074
Rheumatology (Oxford). 2022 Nov 28;61(12):e371-e373
pubmed: 35713495
JAMA. 2023 Jan 24;329(4):318-324
pubmed: 36692560
Semin Hematol. 2021 Oct;58(4):204-211
pubmed: 34802541
BMC Rheumatol. 2022 Aug 30;6(1):54
pubmed: 36038944
RMD Open. 2022 Jul;8(2):
pubmed: 35868738
Chest. 2023 Mar;163(3):575-585
pubmed: 36272567
Rheumatology (Oxford). 2022 Aug 3;61(8):3149-3160
pubmed: 34888629
J Am Acad Dermatol. 2023 Apr;88(4):917-920
pubmed: 36343774
Clin Chem Lab Med. 2023 Feb 02;61(7):1275-1279
pubmed: 36722042
Rheumatology (Oxford). 2023 May 26;:
pubmed: 37233149
J Clin Immunol. 2021 Oct;41(7):1648-1651
pubmed: 34080084
Arthritis Rheumatol. 2022 Nov;74(11):1733-1736
pubmed: 35696333
J Allergy Clin Immunol. 2023 May;151(5):1204-1214
pubmed: 36948992
RMD Open. 2018 Oct 18;4(Suppl 1):e000788
pubmed: 30402273
N Engl J Med. 2020 Dec 31;383(27):2680-2682
pubmed: 33108100
Eur J Haematol. 2023 Jun;110(6):633-638
pubmed: 36788756
Blood. 2022 Sep 29;140(13):1496-1506
pubmed: 35793467
Arthritis Rheumatol. 2023 Jul;75(7):1285-1290
pubmed: 36762418
N Engl J Med. 2020 Dec 31;383(27):2628-2638
pubmed: 33108101
Hemasphere. 2022 Sep 27;6(10):e775
pubmed: 36187875
Br J Dermatol. 2022 Mar;186(3):564-574
pubmed: 34632574
J Rheumatol. 2021 Oct;48(10):1626-1627
pubmed: 34074684
Blood. 2021 Jul 1;137(26):3685-3689
pubmed: 33690844
Blood Adv. 2021 Aug 24;5(16):3203-3215
pubmed: 34427584
Int J Dermatol. 2023 Jul;62(7):938-945
pubmed: 36890121
Rheumatology (Oxford). 2023 Feb 16;:
pubmed: 36794903
Semin Hematol. 2021 Oct;58(4):212-217
pubmed: 34802542
JAMA Dermatol. 2021 Nov 01;157(11):1349-1354
pubmed: 34495287
Arthritis Rheumatol. 2022 Apr;74(4):665-670
pubmed: 34611997
Leukemia. 2023 May;37(5):1080-1091
pubmed: 36823397

Auteurs

Nikolas Ruffer (N)

III. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Martin Krusche (M)

III. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany m.krusche@uke.de.

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Classifications MeSH