Autoinflammatory & rare systemic diseases

Clinical features in VEXAS syndrome: a systematic review

Rheumatology (Oxford)Published Systematic review

Authors' conclusion

This systematic review provides the most comprehensive characterization of VEXAS syndrome to date, establishing robust prevalence estimates across all organ systems and identifying rare manifestations with important clinical implications.

Study context

Population
Genetically confirmed VEXAS syndrome cases published since its discovery in 202033 case reports · 21 case series
Participants
720 participants
Outcome
Prevalence of clinical manifestations across organ systems
Methodological detailsPRISMA guidelines, five databases, Wilson score intervals, 32 countries
  • PRISMA guidelines
  • Five databases
  • Wilson score intervals
  • 32 countries

Pooled result

As reported in the abstract

Prevalence of manifestations
Cutaneous involvement (predominant), 95% CI 78.8-84.5%
81.8%
Constitutional symptoms, 95% CI 66.0-72.7%
69.4%
Respiratory disease, 95% CI 57.6-64.7%
61.3%
Joint involvement, 95% CI 43.5-51.2%
47.3%
Ocular disease, 95% CI 40.5-48.2%
44.3%
VTE, 95% CI 38.3-45.4%
41.8%
Myelodysplastic syndrome, 95% CI 32.3-39.4%
35.8%

Further pooled results

Rare but clinically significant features

Cardiac involvement
7.6%
Renal disease
7.0%
CNS manifestations
7.8%

Original publication

Clinical features in VEXAS syndrome: a systematic review. Rheumatology (Oxford). Published 16 June 2025. doi:10.1093/rheumatology/keaf293

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