VEXAS syndrome: a diagnostic puzzle

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 ran...

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Main Authors: Martin Krusche, Nikolas Ruffer
Format: Article
Language:English
Published: BMJ Publishing Group 2023-07-01
Series:RMD Open
Online Access:https://rmdopen.bmj.com/content/9/3/e003332.full
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author Martin Krusche
Nikolas Ruffer
author_facet Martin Krusche
Nikolas Ruffer
author_sort Martin Krusche
collection DOAJ
description 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.
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spelling doaj.art-0f62d31b9cfe4ddba612b2a525fa147a2023-11-03T06:50:08ZengBMJ Publishing GroupRMD Open2056-59332023-07-019310.1136/rmdopen-2023-003332VEXAS syndrome: a diagnostic puzzleMartin Krusche0Nikolas Ruffer1III. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyThe 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.https://rmdopen.bmj.com/content/9/3/e003332.full
spellingShingle Martin Krusche
Nikolas Ruffer
VEXAS syndrome: a diagnostic puzzle
RMD Open
title VEXAS syndrome: a diagnostic puzzle
title_full VEXAS syndrome: a diagnostic puzzle
title_fullStr VEXAS syndrome: a diagnostic puzzle
title_full_unstemmed VEXAS syndrome: a diagnostic puzzle
title_short VEXAS syndrome: a diagnostic puzzle
title_sort vexas syndrome a diagnostic puzzle
url https://rmdopen.bmj.com/content/9/3/e003332.full
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