VEXAS syndrome: A dermatological perspective
- PMID: 36197697
- DOI: 10.1111/ajd.13932
VEXAS syndrome: A dermatological perspective
Abstract
VEXAS (Vacuoles, E1 enzyme, X-linked, autoinflammatory and somatic mutation) syndrome is a genetically defined disorder identified in 2020, describing patients with inflammatory syndromes associated with haematological dysfunction. It is a severe, treatment-resistant condition, with estimated mortality between 40% and 63%. A wide range of cutaneous manifestations have been described. Here, we report on two patients with treatment-resistant neutrophilic dermatosis and myelodysplastic syndrome, who were subsequently diagnosed with VEXAS syndrome. Our cases highlight the need for dermatologists' awareness of this novel condition and to initiate early referral to haematologists for appropriate multidisciplinary care.
Keywords: UBA1 protein; X-linked; genetic skin diseases; myelodysplastic syndromes; sweet syndrome.
© 2022 Australasian College of Dermatologists.
References
REFERENCES
-
- Beck DB, Ferrada MA, Sikora KA, Ombrello AK, Collins JC, Pei W, et al. Somatic mutations in UBA1 and severe adult-onset autoinflammatory disease. N Engl J Med. 2020;383:2628-38. https://doi.org/10.1056/NEJMoa2026834
-
- Nicholson LT, Madigan LM. Working towards a better understanding of VEXAS syndrome. Br J Dermatol. 2022;186:392-3. https://doi.org/10.1111/bjd.20949
-
- Sterling D, Duncan ME, Philippidou M, Salisbury JR, Kulasekararaj AG, Basu TN. VEXAS syndrome (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) for the dermatologist. J Am Acad Dermatol. 2022;S0190-9622(22):00181-5. https://doi.org/10.1016/j.jaad.2022.01.042
-
- Grayson PC, Patel BA, Young NS. VEXAS syndrome. Blood. 2021;137:3591-4. https://doi.org/10.1182/blood.2021011455
-
- Georgin-Lavialle S, Terrier B, Guedon AF, Heiblig M, Comont T, Lazaro E, et al. Further characterization of clinical and laboratory features in VEXAS syndrome: large-scale analysis of a multicentre case series of 116 French patients. Br J Dermatol. 2022;186:564-74. https://doi.org/10.1111/bjd.20805
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous