Autoinflammatory & rare systemic diseases

Spectrum and significance of 18F-FDG-PET/CT abnormalities in VEXAS syndrome

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

18F-FDG-PET/CT imaging reveals frequent but non-specific abnormalities in VEXAS syndrome, with persistent bone marrow hypermetabolism suggesting subclinical disease activity.

Study context

Population
Patients with genetically-confirmed VEXAS syndrome who underwent 18F-FDG-PET/CT imaging
Participants
66 patients125 scans
Exposure
Active disease vs Remission
Outcome
Sites of abnormal FDG uptake
Methodological detailsmulticentre, observational, Qualitative interpretations based on local nuclear medicine reports
  • Multicentre
  • Observational
  • Qualitative interpretations based on local nuclear medicine reports

Main finding

As reported in the abstract

Bone marrow

83%

Lymph nodes

53%

Pulmonary involvement

38%

Vascular involvement

11%

Observational data: associations, not effects.

Further findings

Number of organs with abnormal FDG uptake, active disease vs remission

P < 0.001

Scans during presumed clinical remission with persistent abnormalities

Persistent abnormalities
90%
Bone marrow
57%

Original publication

Spectrum and significance of 18F-FDG-PET/CT abnormalities in VEXAS syndrome. Rheumatology (Oxford). Published 17 April 2026. doi:10.1093/rheumatology/keag194

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