Evidence map›Paper›PMID 39251478›Full record

SynthesisInternal and emergency medicine2024

The role of

Riccardo Bixio, Sara Bindoli, Andrea Morciano, Roberto Padoan, Federico Aldegheri, Francesca Mastropaolo, Eugenia Bertoldo, Denise Rotta, Matteo Appoloni, Giovanni Orsolini and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Internal and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Aortitis in VEXAS Syndrome.Internal medicine (Tokyo, Japan) · 2025
    Article
  6. Article
  7. 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

16 authors.

Riccardo BixioRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy. riccardo.bixio@univr.it.ORCID 0000-0001-9335-3371
Sara BindoliRheumatology Unit, Department of Medicine, University of Padova, Padua, Italy.ORCID 0000-0002-9409-3329
Andrea MorcianoRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0002-8653-7858
Roberto PadoanRheumatology Unit, Department of Medicine, University of Padova, Padua, Italy.ORCID 0000-0002-2356-375X
Federico AldegheriRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0009-0005-3965-5295
Francesca MastropaoloRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0002-3225-2152
Eugenia BertoldoRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0001-5678-3161
Denise RottaRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0002-1946-2438
Matteo AppoloniRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0009-0002-6967-7805
Giovanni OrsoliniRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0003-4119-3016
Davide GattiRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0002-7471-3076
Giovanni AdamiRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0002-8915-0755
Ombretta ViapianaRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0003-1917-5655
Maurizio RossiniRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0001-9692-2293
Paolo SfrisoRheumatology Unit, Department of Medicine, University of Padova, Padua, Italy.ORCID 0000-0001-6432-7174
Angelo FassioRheumatology Unit, Department of Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.ORCID 0000-0001-9187-232X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, and somatic) syndrome is characterized by heterogeneous clinical manifestations. Due to the inflammatory nature of this condition, 18-FDG-PET (18-fluorodeoxyglucose-positron emission tomography) might be used to diagnose and monitor the disease. However, no data are available about the most common findings of PET imaging in this disease. For this reason, we summarised all the available reports of patients with VEXAS who underwent at least one PET scan and described 8 additional patients' PET from our centres. Overall, we described 35 patients' PET findings. All patients were male, with a median age of 70 years. The most frequent hypermetabolic sites on PET scans were the bone marrow (77.1%), lymph nodes (35.3%), lungs (28.6%), spleen and large vessels (22.9%), and cartilage (20%). Six patients underwent a PET scan 2.7 ± 1.5 years before VEXAS diagnosis, showing nonspecific uptake in the bone marrow. Four patients had a follow-up PET scan, showing a decrease or a disappearance of the previously identified hypermetabolic areas. In conclusion, although no specific uptake site has been found for VEXAS syndrome, PET imaging could help detect inflammatory foci that are not clinically evident. In addition, high metabolic activity in bone marrow might precede the clinical onset of the disease, shedding light on the pathogenesis of VEXAS.

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyAgedGenetic Diseases, X-LinkedHereditary Autoinflammatory DiseasesHumansMaleMiddle AgedRadiopharmaceuticalsFluorodeoxyglucose F18RadiopharmaceuticalsAdult-onset still's diseaseGiant cell arteritisMyelodysplastic–myeloproliferative diseasesPositron-emission tomographyVEXAS syndrome

Identifiers

PMID39251478
PMCPMC11582098

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.