In 2020, Beck et al1 described a novel adult autoinflammatory syndrome entitled
VEXAS (Vacuoles, E1
enzyme, X-linked, Autoinflammatory, Somatic), a newly-discovered disorder that connected previously unrelated inflammatory syndromes and a prototype for a new class of hematoinflammatory diseases.2 Eighty-nine percent of published cases have documented skin involvement, but despite the high incidence and diagnostic accessibility of
skin manifestations, there has been little focus on the dermatological features of
VEXAS syndrome thus far. A PubMed search of all published case reports of
VEXAS syndrome to date was performed, with inclusion of all cases confirmed by genetic sequencing, and this review summarizes the reported dermatological signs. There have already been 141 confirmed published cases since original publication, 126 of which had documented cutaneous signs.1-34 A wide range of skin presentations are reported, including Sweet-like urticated and tender erythematous nodules, cartilaginous involvement with chondritis,
cutaneous vasculitis, and periorbital angiodema.1-34 Many patients had been diagnosed with
Sweet syndrome,
relapsing polychondritis,
polyarteritis nodosa, or
erythema nodosum.1-34 Hallmarks of skin histopathology are a neutrophilic
dermatosis with coexisting or exclusive
leukocytoclastic vasculitis.1 The new classification therefore helps link previously disparate inflammatory skin conditions into a unifying pathophysiological pathway.