Autoinflammatory & rare systemic diseases

Susceptibility to mycobacterial infection in VEXAS syndrome

Rheumatology (Oxford)Published Retrospective case series

Authors' conclusion

VEXAS patients have an intrinsic susceptibility to disseminated NTMi, which may result from monocytic dysfunction. NTMi can mimic VEXAS flare.

Study context

Population
All patients with disseminated non-tuberculous mycobacterial infections seen at one institution over 13 years, including two VEXAS patients with disseminated Mycobacterium avium infectioncases of disseminated non-tuberculous mycobacterial infections (NTMi)
Participants
20 patients
Exposure
HIV-negative vs HIV-positive patients with disseminated NTMi
  • HIV-negativen = 11
Outcome
Underlying conditions in HIV-negative patients
Methodological detailssingle-centre, case report of two VEXAS patients
  • Single-centre
  • Case report of two VEXAS patients

Main finding

As reported in the abstract

Chronic immune-mediated disease
3
Untreated myeloid neoplasm
3
VEXAS
2
Kidney transplantation
1
GATA-2 deficiency
1
No identified aetiology
1
Lymphoid neoplasia or bone marrow transplantation
0

Observational data: associations, not effects.

Further findings

CD4 count

P < 0.001

Monocytopenia

Cases with monocytopenia
7

Death · 2 years

Patients who had died, including both VEXAS patients
6

Original publication

Susceptibility to mycobacterial infection in VEXAS syndrome. Rheumatology (Oxford). Published 5 February 2024. doi:10.1093/rheumatology/keae087

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.