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VEXAS综合征:一种新发现的全身性风湿性疾病。

VEXAS syndrome: a newly discovered systemic rheumatic disorder.

作者信息

Kucharz Eugenisz J

机构信息

Department of Internal Medicine, Rheumatology and Clinical Immunology, Medical University of Silesia, Katowice, Poland.

出版信息

Reumatologia. 2023;61(2):123-129. doi: 10.5114/reum/163090. Epub 2023 May 10.

DOI:10.5114/reum/163090
PMID:37223371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10201379/
Abstract

VEXAS syndrome is an adult-onset autoinflammatory disease associated with hematologic symptoms. The disease affects primarily males, and leads to death of a significant proportion of the patients. VEXAS syndrome is caused by a somatic mutation of the gene in hematopoietic progenitor cells. The clinical picture of the syndrome consists of a number of organ manifestations including those akin to rheumatic diseases, arthritis, myalgia, vasculitis and chondritis.

摘要

VEXAS综合征是一种与血液学症状相关的成人发病的自身炎症性疾病。该疾病主要影响男性,并导致相当比例的患者死亡。VEXAS综合征由造血祖细胞中该基因的体细胞突变引起。该综合征的临床表现包括许多器官表现,包括类似于风湿性疾病、关节炎、肌痛、血管炎和软骨炎的症状。

相似文献

1
VEXAS syndrome: a newly discovered systemic rheumatic disorder.VEXAS综合征:一种新发现的全身性风湿性疾病。
Reumatologia. 2023;61(2):123-129. doi: 10.5114/reum/163090. Epub 2023 May 10.
2
VEXAS syndrome.VEXAS综合征
Int J Hematol. 2024 May 31. doi: 10.1007/s12185-024-03799-9.
3
VEXAS syndrome: Current clinical, diagnostic and treatment approaches.VEXAS综合征:当前的临床、诊断及治疗方法
Intractable Rare Dis Res. 2023 Aug;12(3):170-179. doi: 10.5582/irdr.2023.01020.
4
Somatic Mutations in UBA1 Define a Distinct Subset of Relapsing Polychondritis Patients With VEXAS.UBA1 体细胞突变定义了 VEXAS 相关复发性多软骨炎的一个独特亚组患者。
Arthritis Rheumatol. 2021 Oct;73(10):1886-1895. doi: 10.1002/art.41743. Epub 2021 Aug 31.
5
VEXAS Syndrome-Review.VEXAS综合征综述
Glob Med Genet. 2023 Jul 10;10(3):133-143. doi: 10.1055/s-0043-1770958. eCollection 2023 Sep.
6
Adult-onset autoinflammation caused by somatic mutations in UBA1: A Dutch case series of patients with VEXAS.UBA1 体细胞突变导致的成人发作性自身炎症:荷兰 VEXAS 患者的病例系列。
J Allergy Clin Immunol. 2022 Jan;149(1):432-439.e4. doi: 10.1016/j.jaci.2021.05.014. Epub 2021 May 25.
7
Clinical Manifestations in Vacuoles, E1 Enzyme, X-Linked, Autoinflammatory, Somatic (VEXAS) Syndrome: A Narrative Review.空泡、E1酶、X连锁、自身炎症性、体细胞(VEXAS)综合征的临床表现:一项叙述性综述
Cureus. 2024 Jan 27;16(1):e53041. doi: 10.7759/cureus.53041. eCollection 2024 Jan.
8
Vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome (VEXAS syndrome) with prominent supraglottic larynx involvement: a case-based review.伴明显声门上喉累及的空泡化酶体相关自身炎症性疾病(VEXAS 综合征):基于病例的综述。
Clin Rheumatol. 2022 Nov;41(11):3565-3572. doi: 10.1007/s10067-022-06338-1. Epub 2022 Aug 20.
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Paradigm shift in monogenic autoinflammatory diseases and systemic vasculitis: The VEXAS syndrome.遗传性自身炎症性疾病和系统性血管炎的范式转变:VEXAS 综合征。
Med Clin (Barc). 2022 Nov 25;159(10):489-496. doi: 10.1016/j.medcli.2022.06.018. Epub 2022 Aug 29.
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Vasculitis associated with VEXAS syndrome: A literature review.与VEXAS综合征相关的血管炎:文献综述
Front Med (Lausanne). 2022 Aug 15;9:983939. doi: 10.3389/fmed.2022.983939. eCollection 2022.

引用本文的文献

1
From diagnostic uncertainty to targeted therapy: a case-based review of VEXAS syndrome.从诊断不确定性到靶向治疗:VEXAS综合征的病例回顾
Rheumatol Int. 2025 Sep 4;45(9):217. doi: 10.1007/s00296-025-05963-8.
2
VEXAS: A review of current understandings and emerging treatment strategies.VEXAS:当前认识与新兴治疗策略综述
Front Immunol. 2025 Jul 28;16:1644404. doi: 10.3389/fimmu.2025.1644404. eCollection 2025.
3
Mechanisms of hematopoietic clonal dominance in VEXAS syndrome.VEXAS综合征中造血克隆优势的机制。
Nat Med. 2025 Apr 7. doi: 10.1038/s41591-025-03623-9.
4
Painful Diplopia as an Initial Presentation of VEXAS Syndrome.疼痛性复视为VEXAS综合征的首发表现
Neuroophthalmology. 2024 Mar 12;48(5):360-363. doi: 10.1080/01658107.2024.2324387. eCollection 2024.

本文引用的文献

1
VEXAS syndrome mimicking lupus-like disease.模仿狼疮样疾病的VEXAS综合征。
Rheumatology (Oxford). 2023 Sep 1;62(9):e271-e272. doi: 10.1093/rheumatology/kead076.
2
VEXAS syndrome more common than originally thought?VEXAS综合征比最初认为的更常见?
Nat Rev Rheumatol. 2023 Apr;19(4):193. doi: 10.1038/s41584-023-00931-7.
3
Novel Somatic UBA1 Variant in a Patient With VEXAS Syndrome.患者患有 VEXAS 综合征,存在新型 UBA1 种系变异。
Arthritis Rheumatol. 2023 Jul;75(7):1285-1290. doi: 10.1002/art.42471. Epub 2023 May 11.
4
Quantitative Assessment of Vacuolization of Myeloid Precursors in VEXAS Syndrome.VEXAS综合征中髓系前体细胞空泡化的定量评估
Hemasphere. 2023 Jan 25;7(2):e828. doi: 10.1097/HS9.0000000000000828. eCollection 2023 Feb.
5
[Macrocytic anemia and polychondritis: VEXAS syndrome].[大细胞性贫血与多软骨炎:VEXAS综合征]
Z Rheumatol. 2024 Apr;83(3):229-233. doi: 10.1007/s00393-023-01318-5. Epub 2023 Feb 3.
6
Accurate stratification between VEXAS syndrome and differential diagnoses by deep learning analysis of peripheral blood smears.通过外周血涂片深度学习分析对 VEXAS 综合征与鉴别诊断进行准确分层。
Clin Chem Lab Med. 2023 Feb 2;61(7):1275-1279. doi: 10.1515/cclm-2022-1283. Print 2023 Jun 27.
7
Estimated Prevalence and Clinical Manifestations of UBA1 Variants Associated With VEXAS Syndrome in a Clinical Population.在临床人群中与 VEXAS 综合征相关的 UBA1 变异体的估计患病率和临床表现。
JAMA. 2023 Jan 24;329(4):318-324. doi: 10.1001/jama.2022.24836.
8
VEXAS syndrome: Expanding the clinical and molecular spectrum.VEXAS综合征:拓展临床和分子谱
Joint Bone Spine. 2023 May;90(3):105531. doi: 10.1016/j.jbspin.2023.105531. Epub 2023 Jan 20.
9
VEXAS syndrome: a new paradigm for adult-onset monogenic autoinflammatory diseases.VEXAS 综合征:一种新的成人发病的单基因自身炎症性疾病模式。
Intern Emerg Med. 2023 Apr;18(3):711-722. doi: 10.1007/s11739-023-03193-z. Epub 2023 Jan 20.
10
Pulmonary manifestations in VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) syndrome: a systematic review.VEXAS(空泡、E1 酶、X 连锁、自身炎症、体细胞)综合征的肺部表现:系统评价。
Rheumatol Int. 2023 Jun;43(6):1023-1032. doi: 10.1007/s00296-022-05266-2. Epub 2023 Jan 8.