Autoinflammatory & rare systemic diseases

Mapping the infectious burden in VEXAS syndrome: a systematic review and rationale for prevention

Lancet RheumatolPublished Systematic review

Authors' conclusion

We included 57 studies (813 patients) showing that infections in patients with VEXAS syndrome were frequent, severe in 40-60% of cases, and fatal in 6-15% of cases.

Study context

Population
Patients with VEXAS syndrome
Participants
813 patients57 studies
Outcome
Infectious burden of VEXAS syndrome

Pooled result

As reported in the abstract

Infections in VEXAS syndrome

Severe infections

40-60%

Fatal infections

6-15%

Further pooled results

Opportunistic pathogens (Pneumocystis jirovecii, Legionella pneumophila, non-tuberculous mycobacteria, varicella zoster virus) frequently reported, even in patients not receiving immunosuppressive therapy

Original publication

Mapping the infectious burden in VEXAS syndrome: a systematic review and rationale for prevention. Lancet Rheumatol. Published 4 September 2025. doi:10.1016/s2665-9913(25)00225-5

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