Raras
Buscar doenças, sintomas, genes...
Síndrome VEXAS
ORPHA:596753CID-10 · M35.8CID-11 · 4A60.YOMIM 301054DOENÇA RARA

Uma doença inflamatória que começa na idade adulta, afetando apenas homens. É causada por mutações genéticas que ocorrem nas células do corpo durante a vida da pessoa, e não são herdadas. A doença se manifesta por sintomas reumatológicos (problemas nas juntas, músculos e tecidos conectivos) que aparecem na idade adulta, em média aos 64 anos. Os sintomas incluem febres recorrentes (que voltam sempre), inflamações nos pulmões e na pele, inflamação dos vasos sanguíneos (vasculite), coágulos de sangue em veias mais profundas (trombose venosa profunda), dores nas articulações e inflamação da cartilagem das orelhas e do nariz. Exames de laboratório mostram alterações no sangue, como um tipo de anemia em que as células vermelhas são maiores que o normal (anemia macrocítica), e níveis elevados de marcadores de inflamação. Cerca de metade dos pacientes apresenta autoanticorpos positivos (o sistema imunológico ataca o próprio corpo). A biópsia da medula óssea revela alterações nas células imaturas que dão origem aos glóbulos brancos e vermelhos, com a presença de pequenas bolhas ou espaços vazios (vacuolização degenerativa). Também são observadas diferentes dificuldades na formação e no desenvolvimento normal das células sanguíneas. A condição não responde aos medicamentos usados para tratar doenças reumatológicas e suas características podem levar a uma morte precoce.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Uma doença inflamatória que começa na idade adulta, afetando apenas homens. É causada por mutações genéticas que ocorrem nas células do corpo durante a vida da pessoa, e não são herdadas. A doença se manifesta por sintomas reumatológicos (problemas nas juntas, músculos e tecidos conectivos) que aparecem na idade adulta, em média aos 64 anos. Os sintomas incluem febres recorrentes (que voltam sempre), inflamações nos pulmões e na pele, inflamação dos vasos sanguíneos (vasculite), coágulos de sangue em veias mais profundas (trombose venosa profunda), dores nas articulações e inflamação da cartilagem das orelhas e do nariz. Exames de laboratório mostram alterações no sangue, como um tipo de anemia em que as células vermelhas são maiores que o normal (anemia macrocítica), e níveis elevados de marcadores de inflamação. Cerca de metade dos pacientes apresenta autoanticorpos positivos (o sistema imunológico ataca o próprio corpo). A biópsia da medula óssea revela alterações nas células imaturas que dão origem aos glóbulos brancos e vermelhos, com a presença de pequenas bolhas ou espaços vazios (vacuolização degenerativa). Também são observadas diferentes dificuldades na formação e no desenvolvimento normal das células sanguíneas. A condição não responde aos medicamentos usados para tratar doenças reumatológicas e suas características podem levar a uma morte precoce.

Pesquisas ativas
7 ensaios
9 total registrados no ClinicalTrials.gov
Publicações científicas
584 artigos
Último publicado: 2026 Apr 16

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
37
pacientes catalogados
Início
Adult
+ elderly
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: M35.8
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🩸
Sangue
4 sintomas
🦴
Ossos e articulações
3 sintomas
🧬
Pele e cabelo
3 sintomas
😀
Face
1 sintomas
👂
Ouvidos
1 sintomas
🛡️
Imunológico
1 sintomas

+ 11 sintomas em outras categorias

Características mais comuns

96%prev.
Anemia macrocítica
Frequência: 24/25
92%prev.
Febre recorrente
Frequência: 23/25
72%prev.
Infiltrados pulmonares
Frequência: 18/25
64%prev.
Condrite nasal
Frequência: 16/25
64%prev.
Condrite da orelha
Frequência: 16/25
44%prev.
Tromboembolismo
Frequência: 11/25
25sintomas
Muito frequente (2)
Frequente (4)
Sem dados (19)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 25 características clínicas mais associadas, ordenadas por frequência.

Anemia macrocíticaMacrocytic anemia
Frequência: 24/2596%
Febre recorrenteRecurrent fever
Frequência: 23/2592%
Infiltrados pulmonaresPulmonary infiltrates
Frequência: 18/2572%
Condrite nasalNasal chondritis
Frequência: 16/2564%
Condrite da orelhaChondritis of pinna
Frequência: 16/2564%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico584PubMed
Últimos 10 anos200publicações
Pico2025148 papers
Linha do tempo
2026Hoje · 2026🧪 2020Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Not applicable.

UBA1Ubiquitin-like modifier-activating enzyme 1Disease-causing somatic mutation(s) inAltamente restrito
FUNÇÃO

Catalyzes the first step in ubiquitin conjugation to mark cellular proteins for degradation through the ubiquitin-proteasome system (PubMed:1447181, PubMed:1606621, PubMed:33108101). Activates ubiquitin by first adenylating its C-terminal glycine residue with ATP, and thereafter linking this residue to the side chain of a cysteine residue in E1, yielding a ubiquitin-E1 thioester and free AMP (PubMed:1447181). Essential for the formation of radiation-induced foci, timely DNA repair and for respon

LOCALIZAÇÃO

CytoplasmMitochondrionNucleus

VIAS BIOLÓGICAS (3)
Antigen processing: Ubiquitination & Proteasome degradationDengue Virus Attachment and EntrySynthesis of active ubiquitin: roles of E1 and E2 enzymes
MECANISMO DE DOENÇA

Spinal muscular atrophy X-linked 2

A lethal infantile form of spinal muscular atrophy, a neuromuscular disorder characterized by degeneration of the anterior horn cells of the spinal cord, leading to symmetrical muscle weakness and atrophy. Clinical features include hypotonia, areflexia, and multiple congenital contractures.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
191.7 TPM
Útero
173.1 TPM
Fibroblastos
172.9 TPM
Cervix Endocervix
161.0 TPM
Linfócitos
156.0 TPM
OUTRAS DOENÇAS (2)
VEXAS syndromeinfantile-onset X-linked spinal muscular atrophy
HGNC:12469UniProt:P22314

Variantes genéticas (ClinVar)

186 variantes patogênicas registradas no ClinVar.

🧬 UBA1: NM_003334.4(UBA1):c.3061C>T (p.Arg1021Cys) ()
🧬 UBA1: NM_003334.4(UBA1):c.2075A>G (p.Gln692Arg) ()
🧬 UBA1: NM_003334.4(UBA1):c.2554-3C>G ()
🧬 UBA1: NM_003334.4(UBA1):c.2464G>A (p.Asp822Asn) ()
🧬 UBA1: NM_003334.4(UBA1):c.1672C>T (p.Arg558Cys) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 11 variantes classificadas pelo ClinVar.

4
6
1
Patogênica (36.4%)
VUS (54.5%)
Benigna (9.1%)
VARIANTES MAIS SIGNIFICATIVAS
UBA1: NM_003334.4(UBA1):c.521G>A (p.Arg174Gln) [Conflicting classifications of pathogenicity]
UBA1: NM_003334.4(UBA1):c.121A>C (p.Met41Leu) [Conflicting classifications of pathogenicity]
LOC126863253: NM_003334.4(UBA1):c.122T>C (p.Met41Thr) [Conflicting classifications of pathogenicity]
UBA1: NM_003334.4(UBA1):c.121A>G (p.Met41Val) [Conflicting classifications of pathogenicity]
UBA1: NM_003334.4(UBA1):c.355C>T (p.Arg119Trp) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 21
1Fase 11
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 7 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome VEXAS

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

6 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

9 ensaios clínicos encontrados, 7 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
🧪 Está conduzindo uma pesquisa?
Divulgue para pacientes e familiares que acompanham esta doença.
Divulgar pesquisa →

Publicações mais relevantes

🥉Melhor nível de evidência: Relato de caso
Timeline de publicações
584 papers (10 anos)
#1

Inflammatory cell death and monocyte dysfunction in VEXAS syndrome.

Blood2026 Mar 02

VEXAS syndrome is a severe adult-onset autoinflammatory disease caused by somatic mutations in the UBA1 gene, disrupting cytoplasmic ubiquitin-activating enzyme E1 function in hematopoietic progenitors. Its pathogenesis remains poorly understood, particularly the mechanisms by which UBA1 mutations disrupt myeloid cell function in the context of inflammatory stimuli. Here, we combine a genetically engineered THP-1 monocytic model with ex vivo analyses of blood and tissue samples from VEXAS patients to investigate the consequences of the canonical UBA1M41V mutation. We show that UBA1-mutated monocytes exhibit TNF-α-induced cell death, characterized by RIPK1 phosphorylation, and MLKL- and caspase-8-mediated cell death. Importantly, we extend these findings to patient-derived CD14⁺ sorted cells, confirming that these cells undergo aberrant apoptotic and necroptotic cell death. Mechanistically, activation of these cell death pathways appears to be promoted by defective NF-κB-dependent transcriptional responses and reduced cFLIP(L) expression following TNF-α stimulation. UBA1-mutated monocytes also display blunted cytokine responses to Toll-like receptor (TLR) agonists despite preserved TLR expression, linked to an impaired NF-κB response. UBA1M41V-derived macrophages exhibit a pro-inflammatory transcriptional profile with increased chemokine secretion that promotes monocyte recruitment. In addition, these UBA1-mutated macrophages display impaired efferocytosis due to lysosomal dysfunction. Together, these findings reveal a pathogenic axis in VEXAS syndrome linking UBA1 loss of function and defective ubiquitination to RIPK1-mediated inflammatory cell death, impaired antimicrobial signaling, and defective resolution mechanisms. Our study provides novel mechanistic insights into the myeloid dysfunction underlying inflammation and cytopenia in VEXAS and supports the therapeutic targeting of inflammatory cell death pathways.

#2

VEXAS syndrome: a comprehensive review of pathogenesis, clinical spectrum, and therapeutic strategies.

Lancet (London, England)2026 Feb 07

Vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) syndrome is a monogenic disease of adulthood characterised by treatment-refractory systemic inflammation and progressive bone marrow failure. VEXAS syndrome is caused by acquired mutations in the UBA1 gene that are restricted to haematopoietic cells. Men aged 50 years or older are particularly susceptible to VEXAS syndrome, with prevalence estimates of approximately one in 4000 men. Perturbation of UBA1, the master enzyme of cellular ubiquitination, promotes myeloid-driven inflammation that is difficult to control with medications other than glucocorticoids. Cytokine-directed therapies (ie, IL-6 and JAK inhibitors) might temporise symptoms and allow glucocorticoid reduction. Hypomethylating agents (ie, azacytidine) can induce clinical and molecular remission in some patients, but are associated with substantial toxicities. Haematopoietic cell transplant might be effective treatment in patients who are suitable candidates. The discovery of VEXAS syndrome highlights the potential role of somatic mutations in complex inflammatory diseases.

#3

Reversal of third-degree AV block with ruxolitinib in VEXAS-associated myocarditis: a case report.

European heart journal. Case reports2026 Jan

VEXAS syndrome is a newly described autoinflammatory condition; cardiac involvement is exceedingly rare. This case illustrates a reversible complete heart block due to myocarditis in VEXAS, successfully treated with targeted therapy. A 69-year-old man with known VEXAS syndrome presented with dizziness and syncope. Workup revealed third-degree atrioventricular (AV) block and imaging consistent with myocarditis. Standard therapy (atropine, isoprenaline infusion) stabilized the patient, and ruxolitinib (a JAK inhibitor) was initiated alongside corticosteroids to treat the underlying inflammatory syndrome. Within days, the patient's AV conduction was restored without the need for pacemaker insertion. He was discharged with improved cardiac function and ongoing immunomodulatory therapy. Targeted immunomodulation can reverse cardiac conduction block caused by inflammation in VEXAS syndrome. This case underscores the importance of recognizing autoinflammatory syndromes as a cause of heart block and suggests a potential role for JAK inhibitors in treating inflammatory myocarditis.

#4

Independent mechanisms of inflammation and myeloid bias in VEXAS syndrome.

Nature2026 Jan

Somatically acquired mutations in the E1 ubiquitin-activating enzyme UBA1 within haematopoietic stem and progenitor cells (HSPCs) were recently identified as the cause of the adult-onset autoinflammatory syndrome VEXAS (vacuoles, E1 enzyme, X linked, autoinflammatory, somatic)1. UBA1 mutations in VEXAS lead to clonal expansion within the HSPC and myeloid, but not lymphoid, compartments. Despite its severity and prevalence, the mechanisms by which UBA1 mutations cause multiorgan autoinflammation and haematological disease are unclear. Here we use somatic gene-editing approaches to model VEXAS-associated UBA1 mutations in primary macrophages and HSPCs. Uba1-mutant mouse macrophages exposed to inflammatory stimuli underwent aberrant apoptotic and necroptotic cell death mediated by caspase-8 (CASP8) and RIPK3-MLKL, respectively. Accordingly, in mice challenged with TNF or LPS, the UBA1 inhibitor TAK-243 exacerbated inflammation in a RIPK3-CASP8-dependent manner. By contrast, Uba1 mutation in HSPCs induced an unfolded protein response and myeloid bias independently of RIPK3-CASP8. Mechanistically, aberrant cell death of Uba1-mutant macrophages coincided with a kinetic defect in Lys63/Met1 (that is, linear) polyubiquitylation of inflammatory signalling complexes. Collectively, our results link VEXAS pathogenesis to the pathogenesis of rarer monogenic autoinflammatory syndromes, highlight specific ubiquitin-associated defects stemming from an apical mutation in the ubiquitylation cascade and support therapeutic targeting of the inflammatory cell death axis in VEXAS.

#5

Unravelling the cellular mechanisms of VEXAS syndrome.

Nature reviews. Rheumatology2026 Jan

Publicações recentes

Ver todas no PubMed

📚 EuropePMC482 artigos no totalmostrando 195

2026

VEXAS syndrome in adults: A narrative review of genomic pathogenesis, multisystem phenotypes, diagnostic algorithms, and emerging therapeutic strategies.

Autoimmunity reviews
2026

VEXAS Syndrome with an Improvement of Chest Shadows Without Immunosuppressive Therapy: A Case Report.

Internal medicine (Tokyo, Japan)
2026

Large-Vessel Vasculitis With Autoimmune Myelodysplastic Syndrome: An Uncommon Case of Large-Vessel Vasculitis With Cytopenia That Is Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic Syndrome (VEXAS) Negative.

Cureus
2026

Inflammatory cell death and monocyte dysfunction in VEXAS syndrome.

Blood
2026

A case of VEXAS syndrome presenting as macrophage activation syndrome: from chronic inflammation to multi-organ failure.

Internal and emergency medicine
2026

PAXIS: A Randomized, Double-Blind, Placebo-Controlled, Dose-Finding Phase 2 Study (Part 1) Followed by an Open-Label Period (Part 2) to Assess the Efficacy and Safety of Pacritinib in Patients with VEXAS Syndrome.

Journal of clinical medicine
2026

Navigating through uncertainty-Experience from the UK national VEXAS MDT.

British journal of haematology
2026

In response to Bergonzi et al.: Azacitidine-ruxolitinib combination therapy may permit dose reduction in VEXAS syndrome.

British journal of haematology
2026

Case Report: Early-onset VEXAS syndrome with recurrent pulmonary inflammation and myelodysplasia: a diagnostic and therapeutic challenge.

Frontiers in immunology
2026

Expanding the Clinical Spectrum of VEXAS (Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic) Syndrome: The First Report of Histologically Confirmed Neutrophilic Colitis With Rare Muscular and Pancreatic Involvement.

Cureus
2026

A vexing fever: Unveiling VEXAS syndrome.

The American journal of medicine
2026

Beyond Sweet Syndrome: Untangling the Threads of Histiocytoid Sweet Syndrome and Cutaneous Myeloid Neoplasia.

Surgical pathology clinics
2025

Case Report: Diagnostic challenges in VEXAS syndrome with novel ultrastructural lung findings: IgG4-RD and vasculitis as relevant differential diagnoses.

Frontiers in immunology
2025

Rheumatology 2050: How our specialty is changing.

Future healthcare journal
2026

A fatal case of VEXAS syndrome with a brief review.

Journal of vascular surgery cases and innovative techniques
2026

VEXAS syndrome and cancer: Insights about a possible "Tip of the Iceberg". Ambidirectional data from the international AIDA network registries.

Seminars in arthritis and rheumatism
2025

Clinical and laboratory markers to distinguish VEXAS from Schnitzler's syndrome: data from the AIDA network registries.

Frontiers in medicine
2026

Hemi-Orolingual Angioedema in a Patient With VEXAS Syndrome.

EJHaem
2026

Managing Metastatic Cutaneous Squamous Cell Carcinoma in VEXAS Syndrome: A Therapeutic Challenge.

Clinical and experimental dermatology
2026

Rapid cutaneous remission response to tofacitinib and systemic corticosteroids in VEXAS syndrome with a novel UBA1 mutation.

JAAD case reports
2026

Characteristics and prognostic significance of myelodysplasia-related features in VEXAS syndrome.

Leukemia
2026

Orbital inflammation in VEXAS syndrome.

The British journal of ophthalmology
2026

Hypomethylating agents in vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome (VEXAS): A systematic review.

British journal of haematology
2026

VEXAS syndrome: a comprehensive review of pathogenesis, clinical spectrum, and therapeutic strategies.

Lancet (London, England)
2026

Reversal of third-degree AV block with ruxolitinib in VEXAS-associated myocarditis: a case report.

European heart journal. Case reports
2025

A Case of VEXAS Syndrome.

WMJ : official publication of the State Medical Society of Wisconsin
2026

Morphologic Deciphering of Hematopoietic Cell Vacuolization: Lessons From VEXAS Syndrome and Other Etiologies.

International journal of laboratory hematology
2026

A rare case of VEXAS syndrome.

Rheumatology advances in practice
2026

VEXAS Syndrome with Vibrio vulnificus Sepsis During Treatment with Tocilizumab: A Case Report.

Internal medicine (Tokyo, Japan)
2026

A Case of VEXAS Syndrome Initially Masked as Myelodysplastic Syndrome: Importance of Marrow Vacuolization and UBA1 Testing: A Case Report.

The American journal of case reports
2025

A Vexing Diagnosis: ENT Presentation of Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic (VEXAS) Syndrome.

Cureus
2026

Polyarteritis nodosa associated with VEXAS syndrome and chronic myelomonocytic leukemia: a case-control study.

Rheumatology (Oxford, England)
2026

VEXAS syndrome with cochleovestibular involvement.

Auris, nasus, larynx
2025

VEXAS syndrome in rheumatology practice: features from a multicenter cohort in north-east Italy.

Frontiers in immunology
2025

[VEXAS syndrome mimicking relapsing polychondritis: A case report].

Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences
2025

Case Report: VEXAS syndrome with extensive pulmonary, cardiac, and skeletal involvement.

Frontiers in immunology
2026

Safety and effectiveness of the combination of 5-azacitidine and ruxolitinib in VEXAS syndrome: A single-centre experience.

British journal of haematology
2025

Immunogenetics of Behçet's disease: Is there a link to recent phenotypic changes?

Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
2025

Refining the interpretation of drug survival and safety in VEXAS syndrome: the importance of competing risks and exposure time. Comment on the article by Eviatar et al.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2026

Unravelling the cellular mechanisms of VEXAS syndrome.

Nature reviews. Rheumatology
2025

VEXAS Syndrome Presenting With Pleuritis.

Clinical case reports
2025

Reinterpreting the efficacy of IL-1 inhibitors in VEXAS syndrome: a matter of superiority or sequencing?: comment on the article by Eviatar et al.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

VEXAS syndrome with eosinophilia and pathologically mimicking histiocytosis: a case report.

Modern rheumatology case reports
2026

Establishing a consensus definition of VEXAS flare for clinical research.

Rheumatology (Oxford, England)
2025

Is the combination of Myelodysplastic syndromes and pulmonary fibrosis accidental or inevitable?

Multidisciplinary respiratory medicine
2025

Monitoring Variant Allele Fraction in VEXAS Syndrome: A Comparison of Digital PCR and Next-Generation Sequencing.

EJHaem
2025

[What is an undifferentiated systemic autoinflammatory disease in adults? Current state of knowledge in 2025].

La Revue de medecine interne
2025

Targeting IL-1 in Autoinflammatory Syndromes: Lessons From Canakinumab and VEXAS Syndrome.

International journal of rheumatic diseases
2025

Unravelling the Puzzle: Highlighting a Case of VEXAS (Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic) Mimicker Presented With Inflammatory Symptoms and Pancytopenia.

Cureus
2025

The MAGIC (Mouth and Genital Ulcers With Inflamed Cartilage) of VEXAS: A Case of Overlap Between Behçet Disease and VEXAS Syndrome.

The Journal of rheumatology
2025

VEXAS Syndrome Presenting as Erythema Nodosum and Pancytopenia: Diagnostic Utility of 18F-FDG PET/CT in Systemic Inflammation.

Clinical nuclear medicine
2026

Vasculitis associated with haematologic malignancies.

Current opinion in rheumatology
2026

VEXAS syndrome presenting with features of Sjögren's disease: a case-based review of VEXAS and autoimmune disease overlap.

Clinical rheumatology
2026

Phenotypes of patients with more than one autoinflammatory disease-associated gene variant: overlapping and mixed autoinflammatory disorders.

Rheumatology (Oxford, England)
2025

VEXAS syndrome: cutaneous manifestations and UBA1 gene variants in the diagnosis of a rare autoinflammatory syndrome - Case report.

Anais brasileiros de dermatologia
2026

Independent mechanisms of inflammation and myeloid bias in VEXAS syndrome.

Nature
2025

Neutrophils take center stage in VEXAS syndrome pathogenesis.

The Journal of clinical investigation
2026

Decoding VEXAS syndrome: emerging insights into pathogenesis and clinical management.

Current opinion in rheumatology
2025

Joint involvement in VEXAS and non-VEXAS clonal haematopoiesis: two clusters from a multicentre regional cohort.

RMD open
2025

VEXAS syndrome in a patient with seropositive rheumatoid arthritis: lessons in diagnostic vigilance.

BMJ case reports
2026

Histiocytoid Sweet Syndrome - A systematic literature review of the clinical and histological characteristics and treatment outcomes.

Journal of the European Academy of Dermatology and Venereology : JEADV
2025

Interval Changes in Hematopoietic Vacuolization in VEXAS Syndrome with M41T Mutation: Insights into Diagnosis and Disease Progression.

Clinical laboratory
2025

Primary CD34+ cells of patients with vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) syndrome are highly sensitive to targeted treatment with TAK-243.

British journal of haematology
2025

Distinct characteristics of VEXAS-causative UBA1 M41 and recurrent functional non-M41 mutations.

Leukemia
2026

High glucocorticoid dependency and limited therapeutic response in Japanese patients with VEXAS syndrome: a multicentre retrospective study.

Modern rheumatology
2025

Respiratory-Predominant Relapsing Polychondritis: The Role of Pet Scan in Making this Challenging Diagnosis.

European journal of case reports in internal medicine
2025

A Patient with Vexas Syndrome Presenting with Complete Ophthalmoplegia.

European journal of case reports in internal medicine
2025

Skin Manifestations in VEXAS Syndrome: Specific Clonal Infiltrates versus Non-Specific Reactive Findings.

Case reports in dermatology
2026

Periorbital oedema, trismus, myalgia as muscular manifestations of VEXAS syndrome: a case report and narrative literature review.

Rheumatology (Oxford, England)
2025

Coexistence of VEXAS Syndrome and Chronic Hepatitis B Virus Infection: a Case Report and Literature Review.

Clinical reviews in allergy &amp; immunology
2025

Diagnostic and Monitoring Strategies for VEXAS Syndrome: Evaluating Sanger Sequencing, NGS, and the SWIM-Score.

Journal of clinical immunology
2026

Clinical-Pathological Conference Series from the Medical University of Graz : Case No 183: A 57-year-old farmer with fever, cough, maculopapular rash and bicytopenia.

Wiener klinische Wochenschrift
2025

Subconjunctival Lesion in VEXAS Syndrome: Expanding the Ocular Disease Spectrum.

Ophthalmic plastic and reconstructive surgery
2025

Characterizing VEXAS syndrome in women: Findings from an international multicenter study.

Journal of internal medicine
2025

JAK Inhibitors for Treatment of VEXAS Syndrome: A Systematic Review of 186 Cases.

Dermatology research and practice
2026

Comparative Efficacy and Safety of Anakinra and Canakinumab in Patients With VEXAS Syndrome: An International Multicenter Study.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2026

Clinical Manifestations of VEXAS Syndrome Across a Broad Spectrum of UBA1 Mutation Burden.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2026

Clinicopathological Challenge: Fixed Urticaria-Like Pink Papules in a Patient With Recurrent Fevers and Arthralgias.

International journal of dermatology
2025

Azacitidine as therapy for VEXAS syndrome.

Blood
2025

VEXAS syndrome: more than just vacuoles.

Hematology, transfusion and cell therapy
2026

[Immuno'logical (The scientific updates you wouldn't dare to read anywhere else): The hidden face of VEXAS syndrome].

La Revue de medecine interne
2025

Cancer Risk in Autoimmune and Immune-Mediated Diseases: A Narrative Review for Practising Clinicians.

Journal of clinical medicine
2026

VEXAS Syndrome and Substance Use Disorders: A Large-Scale, Propensity-Matched, Case-Control Analysis Revealing Immune-Mediated Comorbidities.

International journal of dermatology
2025

Diagnostic persistence in geriatric medicine: A case of VEXAS syndrome in an older adult.

Geriatrics &amp; gerontology international
2026

A complex case of recurrent bilateral alternating orbital inflammation associated to VEXAS syndrome.

Orbit (Amsterdam, Netherlands)
2025

Mapping the infectious burden in VEXAS syndrome: a systematic review and rationale for prevention.

The Lancet. Rheumatology
2025

VEXAS syndrome and immune-mediated rheumatic diseases: overlaps in clinical features and mechanisms.

The Lancet. Rheumatology
2025

Extensively distributed erythema nodosum in VEXAS syndrome.

The Lancet. Haematology
2025

UBA1-depleted neutrophils disrupt immune homeostasis and induce VEXAS-like autoinflammatory disease in mice.

The Journal of clinical investigation
2025

From diagnostic uncertainty to targeted therapy: a case-based review of VEXAS syndrome.

Rheumatology international
2025

[Treatment for VEXAS syndrome with luspatercept combined with cyclosporine A, methylprednisolone, and thalidomide: a case report].

Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi
2025

Vacuolated Marrow Cytopenias from Copper Deficiency to UBA1-Mutant VEXAS: Molecular Landscape, Systematic Review, and Cost-Efficient Diagnostic Algorithm.

International journal of molecular sciences
2025

VEXAS Syndrome: Genetics, Gender Differences, Clinical Insights, Diagnostic Pitfalls, and Emerging Therapies.

International journal of molecular sciences
2025

Prevalence and outcome of VEXAS syndrome in unrelated hematopoietic cell transplantation for bone marrow failure.

Clinical and experimental medicine
2026

Vacuoles, E1 Enzyme, X-linked, Auto-Inflammatory, Somatic (VEXAS) Syndrome Causing Acute Lower Limb Ischaemia.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
2025

Diagnostic performance of four proposed algorithms for suspected VEXAS syndrome.

Rheumatology (Oxford, England)
2025

Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, and Somatic (VEXAS) Syndrome Presenting With Bicytopenia and Vasculitis.

Cureus
2025

VEXAS: A review of current understandings and emerging treatment strategies.

Frontiers in immunology
2026

American College of Rheumatology Guidance Statement for Diagnosis and Management of VEXAS Developed by the International VEXAS Working Group Expert Panel.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Bone marrow vacuolization to curative strategies: Evolving paradigms in VEXAS syndrome management.

Current research in translational medicine
2025

A cross-sectional survey on VEXAS syndrome: insights from a global expert panel.

Clinical rheumatology
2025

Is immunotherapy safe and effective in patients with VEXAS syndrome?

Journal for immunotherapy of cancer
2025

Recent progress in clonal hematopoiesis: expanding the concept.

International journal of hematology
2025

Impaired cytotoxic function and exhausted phenotype of natural killer cells in VEXAS syndrome.

Blood
2025

Promise of Jak Inhibition in the Management of VEXAS, Case Report with Review of the Literature.

Open access rheumatology : research and reviews
2025

Developing efficient predictive models for the diagnosis of VEXAS syndrome.

Seminars in arthritis and rheumatism
2025

Refractory fever, pulmonary infiltrates, and auricular chondritis: a rare case of VEXAS syndrome following COVID-19 infection in the emergency department.

World journal of emergency medicine
2025

Exploring patient-reported outcomes and morbidity burden of patients with VEXAS syndrome: a scoping review.

EClinicalMedicine
2025

Fatal haemorrhage in VEXAS syndrome: a lethal complication unveiled.

BMJ case reports
2025

A Novel Case of Optic Disc Edema Associated With VEXAS Syndrome.

Journal of vitreoretinal diseases
2025

VEXAS syndrome-associated tumefactive demyelination.

Journal of neurology
2025

Vexas Syndrome in a Moroccan Patient: The Story of a Two-Year Diagnostic Lag.

European journal of case reports in internal medicine
2025

Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic (VEXAS) Syndrome With Multisystem Involvement: Imaging and Genetic Insights From a Case Report.

Cureus
2025

Characterization of E1 enzyme dependencies in mutant-UBA1 human cells reveals UBA6 as a novel therapeutic target in VEXAS syndrome.

Leukemia
2025

Momelotinib Is Effective in Treatment for VEXAS Syndrome: Two Cases Within the AGMT Austrian Myeloid Registry.

European journal of haematology
2026

Disease Trajectories and Glucocorticoid Exposure in VEXAS Syndrome Treated with Cytokine-Directed Therapies.

Annals of the rheumatic diseases
2025

Erythematous Plaques and Systemic Inflammation in VEXAS Syndrome.

Deutsches Arzteblatt international
2025

Clinical features in VEXAS syndrome: a systematic review.

Rheumatology (Oxford, England)
2025

VEXAS Syndrome and Alzheimer's Disease-Are There Connections?

Brain sciences
2025

Infections in VEXAS syndrome: a systematic review of the literature.

Current research in translational medicine
2025

Genetic Basis of Autoinflammatory Skin Diseases. Part I. Genetic Pathways of Complex Autoinflammatory Skin Diseases.

Journal of the American Academy of Dermatology
2025

[A CASE OF VACUOLES, E1 ENZYME, X-LINKED, AUTOINFLAMMATORY, SOMATIC (VEXAS) SYNDROME PRESENTING WITH DIVERSE PULMONARY LESIONS OVER TIME].

Arerugi = [Allergy]
2025

Unravelling VEXAS syndrome: shedding light on a recently recognised medical condition.

BMJ case reports
2025

Clonal dominance: mutations in VEXAS syndrome take advantage of inflammation.

Nature reviews. Rheumatology
2025

Efficacy of erythroid-stimulating agent and luspatercept in VEXAS syndrome: A multicenter retrospective study by the FRENVEX group.

HemaSphere
2025

Solid organ neoplasms in a patient with VEXAS syndrome.

Medicina clinica
2025

Unveiling VEXAS Syndrome: When Skin Manifestations and Monoclonal Gammopathy Precede Myeloid-Lineage Hematologic Abnormality.

ACR open rheumatology
2025

Kidney involvement in VEXAS syndrome: insights from a rare case of secondary amyloidosis and systematic review of renal biopsy-confirmed reports.

Clinical rheumatology
2025

Vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) syndrome: A comprehensive review of cases across different ethnicities.

European journal of internal medicine
2025

Bone Marrow Vacuolization at the Crossroads of Specialties: Molecular Insights and Diagnostic Challenges.

European journal of haematology
2025

A series of cutaneous manifestations in a patient with vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome.

SAGE open medical case reports
2025

Rapid clinical deployment of UBA1 testing in patients with VEXAS syndrome.

American journal of clinical pathology
2025

VEXAS syndrome caused by a UBA1 mutation is complicated by recurrent infections leading to hemophagocytic lymphohistiocytosis.

Genes &amp; diseases
2026

Mapping VEXAS-associated and rare UBA1 variants in the United Kingdom: Insights from patient cohorts and the general population.

British journal of haematology
2025

Treatment outcomes in patients with VEXAS syndrome: a retrospective cohort study.

The Lancet. Rheumatology
2025

Treatment outcomes in VEXAS syndrome: response is in the eye of the definer.

The Lancet. Rheumatology
2025

Recapitulation of clinical features in a patient-derived xenograft mouse model of VEXAS syndrome.

Rheumatology (Oxford, England)
2025

Clonal hematopoiesis meets an autoinflammatory disease: the new paradigm of VEXAS syndrome.

Expert review of hematology
2025

In depth transcriptomic profiling defines a landscape of dysfunctional immune responses in patients with VEXAS syndrome.

Nature communications
2025

Bilateral Alternate Orbital and Ocular Manifestations in a VEXAS Syndrome Patient.

Ocular immunology and inflammation
2025

Efficacy and safety of azacitidine for VEXAS syndrome: a large-scale retrospective study from FRENVEX.

Blood
2025

The pathogenesis, clinical presentations and treatment of monogenic systemic vasculitis.

Nature reviews. Rheumatology
2025

Real-world outcomes of vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome at a tertiary referral centre.

British journal of haematology
2025

Erythroid-stimulating agents in VEXAS syndrome: A retrospective study from an Italian multicentre cohort.

British journal of haematology
2025

Bilateral Intraretinal Hemorrhages in VEXAS Syndrome.

Ophthalmology. Retina
2025

VEXAS Syndrome: An Overlooked Threat.

Balkan medical journal
2025

Neutrophilic Urticarial Dermatosis: A Window into Systemic Inflammation and Autoimmune Disorders.

Clinical reviews in allergy &amp; immunology
2025

An Atypical Presentation of VEXAS Syndrome: A Diagnostic Conundrum.

The Ulster medical journal
2025

VEXAS syndrome: A newly identified X-Linked hematoinflammatory disorder - A comprehensive overview of its genetic, molecular, inflammatory, and clinical landscape.

Journal of autoimmunity
2025

VEXAS Syndrome: Phenotype Alteration in the Long-Term Disease Duration.

International journal of rheumatic diseases
2025

Emerging treatment approaches for VEXAS syndrome: a systematic review and meta-analysis.

Annals of hematology
2025

Case Report: Disseminated Nontuberculous Mycobacterial Infection in a VEXAS Syndrome Patient-Possible Association With Variant Allele Frequency.

International journal of rheumatic diseases
2025

VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) syndrome.

Practical neurology
2025

Clinical features and treatments of VEXAS syndrome in critical care: a scoping review.

Critical care (London, England)
2025

Rapid Screening and Monitoring of UBA1 Mutations in VEXAS Syndrome.

The Journal of molecular diagnostics : JMD
2025

New X for VEXAS: haploidentical allogeneic haematopoietic cell transplantation in VEXAS syndrome.

Rheumatology (Oxford, England)
2025

Inflammation and disrupted hematopoiesis drive clonal dominance in a mouse model of VEXAS syndrome.

Nature medicine
2025

Myeloid neoplasm inspired intensive therapy in VEXAS syndrome: A single-centre experience.

British journal of haematology
2025

Mechanisms of hematopoietic clonal dominance in VEXAS syndrome.

Nature medicine
2025

A Case of VEXAS Syndrome Presenting with Unexplained Headache.

Turkish journal of haematology : official journal of Turkish Society of Haematology
2025

Therapeutic Challenges in the Management of VEXAS Syndrome: A Case Report.

The Australasian journal of dermatology
2025

The Challenging and Unique Diagnosis of VEXAS Syndrome: A Case Report.

Journal of investigative medicine high impact case reports
2025

Fatigue and chronic anaemia: Could it be VEXAS syndrome?

Australian journal of general practice
2025

Histiocytoid Sweet Syndrome as a Manifestation of Myelodysplasia Cutis/Cutaneous VEXAS Syndrome.

The American Journal of dermatopathology
2025

[A case report of VEXAS syndrome].

Zhonghua nei ke za zhi
2025

Ocular Features of VEXAS Syndrome: A Systematic Review and Meta-analysis.

American journal of ophthalmology
2025

Is it VEXAS or is it vasculitis?

Clinical and experimental rheumatology
2025

Systemic vasculitis: one year in review 2025.

Clinical and experimental rheumatology
2025

[VEXAS- NEWLY REPORTED SYNDROME WITH OCULAR MANIFESTATIONS: CASE REPORT].

Harefuah
2024

VEXAS syndrome: a Swiss national retrospective cohort study.

Swiss medical weekly
2025

Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, and Somatic (VEXAS) Syndrome: A Diagnostic and Therapeutic Conundrum.

Cureus
2025

Efficacy and safety of conventional disease-modifying antirheumatic drugs in VEXAS syndrome: real-world data from the international AIDA network.

Frontiers in pharmacology
2025

Kaposi sarcoma posthematopoietic stem cell transplant for vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome.

JAAD case reports
2025

Altered IgG4 serum levels in VEXAS syndrome - a retrospective monocentric cohort study.

Rheumatology international
2025

VEXAS syndrome with p.Met41Leu UBA1 gene mutation misdiagnosed as tumid lupus: A series of 3 cases.

JAAD case reports
2025

Critical cardiovascular complications during non-immunosuppressive therapy for VEXAS syndrome.

Rheumatology advances in practice
2025

VEXAS associated acute disseminated Encephalo-Myelitis (ADEM)-like syndrome: A case report and review of the literature.

Current research in translational medicine
2025

[VEXAS syndrome - a chameleon of inflammatory syndromes].

Praxis
2025

Inflammatory Signatures in VEXAS Syndrome, Myelodysplasia Cutis, and Sweet Syndrome.

JAMA dermatology
2025

VEXAS Syndrome: A Perspective Focus on Genetics and Hematological Manifestations.

Genetic testing and molecular biomarkers
2025

Aortitis in VEXAS Syndrome.

Internal medicine (Tokyo, Japan)
2025

Efficacy and safety profile of biotechnological agents and Janus kinase inhibitors in VEXAS syndrome: data from the international AIDA Network VEXAS registry.

Frontiers in pharmacology
2025

Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, and Somatic (VEXAS) Syndrome: A Case Report.

Cureus
2025

Decoding Cytoplasmic Vacuolization: Unraveling the Diagnostic Challenges of VEXAS Syndrome.

Turkish journal of haematology : official journal of Turkish Society of Haematology
2025

VEXAS syndrome through a rheumatologist's lens: insights from a Spanish national cohort.

Rheumatology (Oxford, England)
2025

This month in JAAD Case Reports: April 2025.

Journal of the American Academy of Dermatology
2025

Neurological manifestations in patients with VEXAS syndrome.

Journal of neurology
2025

Very long-term remission with azacitidine in VEXAS syndrome.

Haematologica
2025

VEXAS, Chediak-Higashi syndrome and Danon disease: myeloid cell endo-lysosomal pathway dysfunction as a common denominator?

Cellular &amp; molecular biology letters
2025

Improving outcomes in VEXAS syndrome: the need for prospective data.

Rheumatology (Oxford, England)
2025

VEXAS syndrome: is it more a matter of inflammation or hematopoietic clonality? A case series approach to diagnosis, therapeutic strategies and transplant management.

Annals of hematology
2025

JAK2 is a critical therapeutic target in VEXAS syndrome treated with ruxolitinib.

British journal of haematology
2025

A Clinicopathological Description of Kidney Features in VEXAS Syndrome.

Kidney international reports
2025

A case of VEXAS syndrome with therapy refractive macular involvement.

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
2025

Hypomethylating agents for patients with VEXAS without myelodysplastic syndrome: Clinical outcome and longitudinal follow-up of vacuolization and UBA1 clonal dynamics.

British journal of haematology
Ver todos os 482 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

Ainda não temos associações cadastradas para Síndrome VEXAS.

É de uma associação que acompanha esta doença? Fale com a gente →

Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Síndrome VEXAS

Pacientes, familiares e cuidadores se organizam em comunidades pra compartilhar experiências, fazer perguntas e se apoiar. Você pode ser o primeiro.

Tire suas dúvidas

Perguntas, dicas e experiências compartilhadas aqui na página

Participe da discussão

Faça login para postar dúvidas, compartilhar experiências e interagir com especialistas.

Fazer login

Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Inflammatory cell death and monocyte dysfunction in VEXAS syndrome.
    Blood· 2026· PMID 41770812mais citado
  2. VEXAS syndrome: a comprehensive review of pathogenesis, clinical spectrum, and therapeutic strategies.
    Lancet (London, England)· 2026· PMID 41520673mais citado
  3. Reversal of third-degree AV block with ruxolitinib in VEXAS-associated myocarditis: a case report.
    European heart journal. Case reports· 2026· PMID 41503257mais citado
  4. Independent mechanisms of inflammation and myeloid bias in VEXAS syndrome.
    Nature· 2026· PMID 41183570mais citado
  5. Unravelling the cellular mechanisms of VEXAS syndrome.
    Nature reviews. Rheumatology· 2026· PMID 41350442mais citado
  6. VEXAS syndrome.
    Nat Rev Dis Primers· 2026· PMID 41991535recente
  7. VEXAS syndrome.
    Nat Rev Dis Primers· 2026· PMID 41991954recente
  8. Unmasking Vexas Syndrome: A Rare Case with Crescentic Glomerulonephritis.
    Eur J Case Rep Intern Med· 2026· PMID 41988540recente
  9. When to suspect monogenic autoinflammatory diseases in patients with digestive symptoms?
    Clin Res Hepatol Gastroenterol· 2026· PMID 41933651recente
  10. Peripheral blood UBA1 variant burden predicts poor outcomes in VEXAS syndrome: a nationwide prospective study.
    Ann Rheum Dis· 2026· PMID 41927375recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:596753(Orphanet)
  2. OMIM OMIM:301054(OMIM)
  3. MONDO:0026777(MONDO)
  4. GARD:15001(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q102294972(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome VEXAS
Compêndio · Raras BR

Síndrome VEXAS

ORPHA:596753 · MONDO:0026777
Prevalência
<1 / 1 000 000
Casos
37 casos conhecidos
Herança
Not applicable
CID-10
M35.8 · Outro comprometimento sistêmico especificado do tecido conjuntivo
CID-11
Ensaios
7 ativos
Início
Adult, Elderly
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C5435753
EuropePMC
Wikidata
Wikipedia
Papers 10a
Evidência
🥉 Relato de caso
DiscussaoAtiva

Nenhuma novidade ainda. O agente esta monitorando.

0membros
0novidades