Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec 2;7(12):e2450251.
doi: 10.1001/jamanetworkopen.2024.50251.

Nonischemic Cardiac Manifestations in VEXAS Syndrome

Collaborators, Affiliations

Nonischemic Cardiac Manifestations in VEXAS Syndrome

Marie Robert et al. JAMA Netw Open. .
No abstract available

Plain language summary

This case series reports on the clinical presentation, laboratory findings, imaging characteristics, treatments, and outcomes of nonischemic cardiac manifestations in patients with VEXAS syndrome with confirmed pathogenic UBA1 alterations.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Cardiac Magnetic Resonance Imaging of Patient 3 Showing Myocardial Infarctions and Necrosis Sequalae
A, Cine sequence, with midventricular short-axis view at end systole showing severe thinning of the inferolateral wall of the left ventricle (white arrows). B, Delayed enhancement sequence performed 10 minutes after gadolinium injection (4-chamber view), with subendocardial enhancement of the left ventricular wall (white arrowheads), nodular enhancement of the apical septum (white arrow), and enhancement of the right ventricular apex (black arrowhead). C, Delayed enhancement sequence performed 10 minutes after gadolinium injection (2-chamber view), with nodular foci of enhancement of the anterior wall of the left ventricle (arrowheads). D, T1 mapping performed 12 minutes after gadolinium injection, with midventricular short-axis view showing decreased signal of the inferolateral wall of the left ventricle (arrow) due to gadolinium retention and nodular focus of decreased signal in the anterior septum (arrowhead).

References

    1. Beck DB, Ferrada MA, Sikora KA, et al. . Somatic mutations in UBA1 and severe adult-onset autoinflammatory disease. N Engl J Med. 2020;383(27):2628-2638. doi:10.1056/NEJMoa2026834 - DOI - PMC - PubMed
    1. Georgin-Lavialle S, Terrier B, Guedon AF, et al. ; French VEXAS Group; GFEV, GFM, CEREMAIA, MINHEMON . 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(3):564-574. doi:10.1111/bjd.20805 - DOI - PubMed
    1. Kusne Y, Ghorbanzadeh A, Dulau-Florea A, et al. . Venous and arterial thrombosis in patients with VEXAS syndrome. Blood. 2024;143(21):2190-2200. doi:10.1182/blood.2023022329 - DOI - PMC - PubMed
    1. Euvrard R, Fournier T, Georgescu D, et al. . VEXAS syndrome–related AA amyloidosis: a case report. Rheumatology (Oxford). 2021;61(1):e15-e16. doi:10.1093/rheumatology/keab683 - DOI - PubMed
    1. Lacombe V, Beucher A, Urbanski G, et al. . Distinction between clonal and paraclonal cutaneous involvements in VEXAS syndrome. Exp Hematol Oncol. 2022;11(1):6. doi:10.1186/s40164-022-00262-5 - DOI - PMC - PubMed