Evidence map›Paper›PMID 35868738›Full record

ArticleRMD open2022

Comparison between idiopathic and VEXAS-relapsing polychondritis: analysis of a French case series of 95 patients.

Mohamed-Yacine Khitri, Alexis F Guedon, Sophie Georgin-Lavialle, Benjamin Terrier, David Saadoun, Julie Seguier, Maelle le Besnerais, Claire De Moreuil, Guillaume Denis, Mathieu Gerfaud-Valentin and 19 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
13.6field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Clinical features in VEXAS syndrome: a systematic review.Rheumatology (Oxford, England) · 2025
    Pooled it
  3. The role ofInternal and emergency medicine · 2024
    Pooled it
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  19. Review
  20. Relapsing Polychondritis With Palmoplantar Pustulosis: A Case Report.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2025
    Article
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

29 authors at 20 institutions in 1 country.

Mohamed-Yacine KhitriHopital Saint-Antoine Service de Medecine Interne, Paris, Île-de-France, France.
Alexis F GuedonPierre Louis Epidemiology and Public Health Research Institute, Paris, Île-de-France, France.ORCID 0000-0002-4571-6219
Sophie Georgin-LavialleTenon Hospital, Internal Medicine, AP-HP, Paris, France.ORCID 0000-0001-6668-8854
Benjamin TerrierHopital Cochin, Paris, Île-de-France, France.ORCID 0000-0001-6612-7336
David SaadounHopital Universitaire Pitie Salpetriere, Paris, Île-de-France, France.
Julie SeguierHospital Timone, Marseille, Provence-Alpes-Côte d'Azu, France.
Maelle le BesneraisHôpital Charles Nicolle, Rouen, Normandy, France.
Claire De MoreuilCHRU de Brest, Brest, Bretagne, France.
Guillaume DenisCentre Hospitalier de Rochefort, Rochefort, Nouvelle-Aquitaine, France.
Mathieu Gerfaud-ValentinUniversity Hospital Centre Lyon, Lyon, Auvergne-Rhône-Alpes, France.
Jean Sebastien AllainCHU Rennes, Rennes, Bretagne, France.
Alexandre MariaCHU Montpellier, Montpellier, Languedoc-Roussillon, France.
Laurence BouilletInternal Medicine, Centre Hospitalier Universitaire Grenoble, Michallon Hospital, Grenoble, France.
Vincent GrobostCHU Clermont-Ferrand, Clermont-Ferrand, France.
Joris GallandHospital Centre Fleyriat de Bourg-en-Bresse, Bourg-en-Bresse, Rhône-Alpes, France.
Olivier KosmiderService d'Hématologie Biologique, DMU BioPhyGen, APHP, Paris, Île-de-France, France.
Anael DumontCHU Caen, Caen, Basse-Normandie, France.
Mathilde DevauxIntermunicipal Hospital Centre Poissy-Saint-Germain-en-Laye Poissy Site, Poissy, Île-de-France, France.
Benjamin SubranHôpital de la Croix Saint-Simon, Paris, Île-de-France, France.
Jean SchmidtInternal Medicine, Amiens University Hospital, Amiens, France.
Paola Marianetti-GuingelCHU Reims, Reims, Champagne-Ardenne, France.
Sylvain AudiaCHU Dijon, Dijon, Bourgogne, France.
Sylvain PalatCHU Limoges, Limoges, Limousin, France.
Marielle Roux-SauvatService de médecine interne, Pierre Oudot Hospital of Bourgoin-Jallieu, Bourgoin-Jallieu, Rhône-Alpes, France.
Vincent JachietHopital Saint-Antoine Service de Medecine Interne, Paris, Île-de-France, France.
Pierre Hirschservice d'hématologie biologique, Hôpital Saint-Antoine, Paris, Île-de-France, France.
Olivier FainHopital Saint-Antoine Service de Medecine Interne, Paris, Île-de-France, France.
Arsène MekinianService de Médecine Interne, DHUi2B, Hôpital Saint-Antoine, Paris, Île-de-France, France arsene.mekinian@aphp.fr.ORCID 0000-0003-2849-3049
French VEXAS group and MINHEMON
Sorbonne Université · FRAix-Marseille Université · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de Rochefort · FRCentre Hospitalier Intercommunal de Poissy · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Caen Normandie · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Rennes · FRCommunauté urbaine de Lyon · FRCOMUE Languedoc-Roussillon Universités · FRHôpital Charles-Nicolle · FRHôpital Cochin · FRHôpital de la Croix-Rousse · FRInserm · FRInstitut Pierre Louis d‘Épidémiologie et de Santé Publique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA new adult-onset autoinflammatory syndrome has been described, named VEXAS (Vacuoles, E1 Enzyme, X-linked, Autoinflammatory, Somatic). We aimed to compare the clinical characteristics, the laboratory features and the outcomes between idiopathic-relapsing polychondritis (I-RP) and VEXAS-relapsing polychondritis (VEXAS-RP).

methodsPatients from French retrospective multicentre cohort of RP were separated into two groups: a VEXAS-RP and an I-RP.

resultsCompared with patients with I-RP (n=40), patients with VEXAS-RP (n=55) were men (96% vs 30%, p<0.001) and were older at diagnosis (66 vs 44 years, p<0.001). They had a greater prevalence of fever (60% vs 10%, p<0.001), of skin lesions (82% vs 20%, p<0.001), of ocular involvement (57% vs 28%, p=0.01), of pulmonary infiltrates (46% vs 0%, p<0.001), of heart involvement (11% vs 0%, p=0.0336) and with higher median C-reactive protein levels (64 mg/L vs 10 mg/L, p<0.001). Seventy-five per cent of the patients with VEXAS-RP had myelodysplastic syndrome (MDS) versus none in I-RP group. The glucocorticoids use, and the number of steroid sparing agents were similar in both groups, but patients with VEXAS-RP had more frequent refractory disease (remission obtained in 27% vs 90%, p<0001). VEXAS-RP was associated with higher risk of death: six patients (11%) died in the VEXAS-RP group after a median follow-up of 37 months and none in the I-RP group after a median follow-up of 92 months (p<0.05).

conclusionWe report the largest cohort of VEXAS-RP, characterised by high prevalence of male sex, fever, skin lesion, ocular involvement, pulmonary infiltration, heart involvement, older age and MDS association.

Indexed as

Myelodysplastic SyndromesPolychondritis, RelapsingAdultCohort StudiesFemaleGlucocorticoidsHumansMaleRetrospective StudiesGlucocorticoidsRelapsing PolychondritisSomatic Mutations inUBA1VEXAS syndrome

Identifiers

PMID35868738
PMCPMC9315905
OpenAlexW4286566945

What OpenQuestion holds

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LicenceCC BY-NC
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.