Information on VEXAS

Basic details

Name: VEXAS syndrome | Acronym: VEXAS
Alt. names: vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic, syndrome

Gene: UBA1 | MOI: Somatic | Mechanism of action: Loss of Function

No. of cases in DB: 0 | First reported in: 2020

Last updated on: 2023-02-28 16:41:18 by Andrés Caballero-Oteyza

OMIM: 301054

Orphanet: -

MONDO: -

DOID: -

ClinGen:

Description

It is an adult-onset inflammatory disease that affects only males and is caused by somatic, not germline, mutations. The disorder is characterized by adult onset of rheumatologic symptoms at a mean age of 64 years. Features include recurrent fevers, pulmonary and dermatologic inflammatory manifestations, vasculitis, deep vein thrombosis, arthralgias, and ear and nose chondritis. Laboratory studies indicate hematologic abnormalities, including macrocytic anemia, as well as increased levels of acute-phase reactants; about half of patients have positive autoantibodies. Bone marrow biopsy shows degenerative vacuolization restricted to myeloid and erythroid precursor cells, as well as variable hematopoietic dyspoiesis and dysplasias. The condition does not respond to rheumatologic medications and the features may result in premature death (summary by Beck et al., 2020) [OMIM]

Management

Description of management option has not been reviewed yet.

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0 reported cases added to GenIA

SubjectID Sex Fam.ID AD AFM Validity Country Population Reference & Pub.code

AD: Age at genetic diagnosis; AFM: age at first manifestation; PMID: PubMed ID; GRID: GenIA reference ID (ref. not in PubMed).

Summary of clinical findings

[Considering only Definitive and Possible cases]

Rank Clinical term Present Absent Unreported
1 Macrocytic anemiaarrow icon 24 (96.0%) 0 (0.0%) 1 (4.0%)
2 Recurrent feversarrow icon 23 (92.0%) 0 (0.0%) 2 (8.0%)
3 Pulmonary infiltratesarrow icon 18 (72.0%) 0 (0.0%) 7 (28.0%)
4 Chondritis of pinnaarrow icon 16 (64.0%) 0 (0.0%) 9 (36.0%)
5 Nasal chondritisarrow icon 16 (64.0%) 0 (0.0%) 9 (36.0%)
6 Thromboembolismarrow icon 11 (44.0%) 0 (0.0%) 14 (56.0%)

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Summary of treatment outcomes

[Considering only Definitive and Possible cases]

Treatment ⓘ Responses & clinical indications

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