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Living with VEXAS syndrome

A condition mainly in older adults, usually males, with recurring fevers, inflammation, and blood cell changes.

Understanding VEXAS syndrome

VEXAS syndrome is an autoinflammatory disorder involving episodes of fever and abnormal inflammation.

The innate immune system turns on when there is no injury or invader, causing fevers and inflammation in tissues and organs. It typically affects older adults, mainly males, starting in their fifties to seventies. Many have anemia, and some have low platelets or myelodysplastic syndrome.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Repeated fevers
  • Joint pain and arthritis
  • Ear and nose cartilage inflammation
  • Skin inflammation
  • Anemia with large red blood cells
  • Blood clots in the deep veins

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests confirm VEXAS syndrome?
How are blood counts monitored over time?
Which specialists should be on my care team?

Quick facts

Symptoms usually startAdult and as an Older Adult

GARD doesn't describe a cause for this condition yet, beyond an immune response that is turned on abnormally.

Skin

Also known as: vacuoles, e1 enzyme, x-linked, autoinflammatory, somatic syndrome; vexas; vexas syndrome, somatic

Patient organizations

Broader rare-disease groups

Source: NIH GARD · VEXAS syndromeGARD ID 15001 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with VEXAS syndrome.

Explore the VEXAS syndrome blog

Explore research for VEXAS syndrome

Explore actively recruiting VEXAS syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for VEXAS syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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I can help you find recruiting VEXAS syndrome studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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