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Koster MJ, Warrington KJ. VEXAS within the spectrum of rheumatologic disease. Semin Hematol. 2021;58(4):218-225doi: 10.1053/j.seminhematol.2021.10.002.
Koster, M. J., & Warrington, K. J. (2021). VEXAS within the spectrum of rheumatologic disease. Seminars in hematology, 58(4), 218-225. https://doi.org/10.1053/j.seminhematol.2021.10.002
Koster, Matthew J, and Warrington, Kenneth J. "VEXAS within the spectrum of rheumatologic disease." Seminars in hematology vol. 58,4 (2021): 218-225. doi: https://doi.org/10.1053/j.seminhematol.2021.10.002
Koster MJ, Warrington KJ. VEXAS within the spectrum of rheumatologic disease. Semin Hematol. 2021 Oct;58(4):218-225. doi: 10.1053/j.seminhematol.2021.10.002. Epub 2021 Oct 09. PMID: 34802543.
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Semin Hematol. 2021 Oct;58(4):218-225. doi: 10.1053/j.seminhematol.2021.10.002. Epub 2021 Oct 09.

VEXAS within the spectrum of rheumatologic disease.

Seminars in hematology

Matthew J Koster, Kenneth J Warrington

Affiliations

  1. Department of Internal Medicine, Division of Rheumatology, Mayo Clinic, Rochester, MN. Electronic address: [email protected].
  2. Department of Internal Medicine, Division of Rheumatology, Mayo Clinic, Rochester, MN.

PMID: 34802543 DOI: 10.1053/j.seminhematol.2021.10.002

Abstract

The identification of the VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) syndrome as a myeloid-driven inflammatory disease resulting from somatic mutations in the UBA1 gene further exposes the increasingly recognized overlap between hematologic disturbances and auto-immunity and/or auto-inflammatory presentations. Although single or multi-lineage cytopenias are a unifying aspect of VEXAS, patients with this condition can present with a wide array of inflammatory findings affecting the skin, lung, joints, eye, vascular system, and cartilaginous structures. As such, it is paramount that generalists, and subspecialty providers familiarize themselves with the clinical characteristics of this condition. This review summarizes the reported clinical symptoms of VEXAS syndrome with a particular focus on its non-hematologic inflammatory features.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: Autoimmune; Autoinflammatory; Rheumatology; VEXAS; Vasculitis

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