Evidence map›Paper›PMID 34817788›Full record

ArticleJournal of thrombosis and thrombolysis2022

Thrombosis in VEXAS syndrome.

Thet Mon Oo, Jie Tian Jeanette Koay, Siew Fen Lee, Shang Ming Samuel Lee, Xin Rong Lim, Bingwen Eugene Fan

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Clinical features in VEXAS syndrome: a systematic review.Rheumatology (Oxford, England) · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Cutaneous vasculitis in autoinflammatory diseases.The Journal of dermatology · 2024
    Review
  14. Review
  15. VEXAS syndrome as a mimicker of ANCA-associated vasculitis.Rheumatology advances in practice · 2024
    Article
  16. Review
  17. VEXAS Syndrome-Review.Global medical genetics · 2023
    Review
  18. Article
  19. Article
  20. VEXAS Syndrome: A Novelty in MDS Landscape.Diagnostics (Basel, Switzerland) · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Thet Mon OoDepartment of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0001-8544-4484
Jie Tian Jeanette KoayDepartment of Haematology, Tan Tock Seng Hospital, 11 Jln Tan Tock Seng, Singapore, 308433, Singapore.
Siew Fen LeeDepartment of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
Shang Ming Samuel LeeLee Kong Chian School of Medicine, Singapore, Singapore.
Xin Rong LimLee Kong Chian School of Medicine, Singapore, Singapore.
Bingwen Eugene FanLee Kong Chian School of Medicine, Singapore, Singapore. Bingwen_Eugene_Fan@ttsh.com.sg.ORCID http://orcid.org/0000-0003-4367-5182
Tan Tock Seng Hospital · SGTCA College · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

VEXAS syndrome, an autoinflammatory syndrome due to a Ubiquitin Like Modifier Activating Enzyme 1 (UBA1) somatic mutation, has a high thrombotic burden. We report a case of a 69-year-old male that was diagnosed with VEXAS syndrome who developed venous thromboembolism (VTE). Review of literature of existing VEXAS syndrome cases showed a high thrombotic burden, with the reported incidence of VTE (36.4%) being markedly higher than arterial thrombosis (1.6%), with deep vein thrombosis being more common than pulmonary embolism. Somatic mutation in the UBA1 gene results in decreased ubiquitylation which is a key driver in the development of thrombosis in VEXAS syndrome, due to chronic inflammation and cytokine release from abnormal crosstalk between the intrinsic effector mechanism of innate immune cells, platelets and endothelium resulting in dysregulated haemostasis and endothelial dysfunction. Targeting endothelial dysfunction and reducing inflammatory milieu causing hypercoagulability with immunosuppressants and immunomodulatory agents, together with anticoagulation may be the strategy to prevent recurrent thrombotic events.

Indexed as

ThrombosisVenous ThromboembolismAgedHumansMaleMutationSyndromeUbiquitin-Activating EnzymesUbiquitin-Activating EnzymesGeneticsInflammationMutationThrombosisVenous ThromboembolismVEXAS Syndrome

Identifiers

PMID34817788
PMCPMC8612112
OpenAlexW3215925851

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.