Neurological Manifestations in Relapsing Polychondritis and VEXAS Syndrome: What Neurologists Should Anticipate - Report - MDSpire

Neurological Manifestations in Relapsing Polychondritis and VEXAS Syndrome: What Neurologists Should Anticipate

  • By

  • Mickael Bonnan

  • Quang Tuan Rémy Nguyen

  • Etienne Crickx

  • April 24, 2026

  • 0 min

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Clinical Report: Neurological Manifestations in Relapsing Polychondritis and VEXAS Syndrome

Overview

Revise to emphasize the rarity of neurological involvement and specify types of complications.

Background

Relapsing polychondritis and VEXAS syndrome are systemic autoimmune diseases that can present with neurological manifestations, although these are uncommon. Understanding the neurological complications is crucial for neurologists to differentiate between these conditions and manage patients effectively. The overlap between RP and VEXAS, particularly in older patients, necessitates awareness of their distinct neurological presentations.

Data Highlights

No numerical data available in the article.

Key Findings

  • Neurological complications in RP and VEXAS are rare but significant.
  • Meningoencephalitis is a common presenting symptom in RP.
  • Cranial nerve palsies in RP may relate to contiguous inflammation.
  • VEXAS syndrome is characterized by muscle and peripheral nerve involvement.
  • Neurological manifestations in both conditions may include vascular involvement.

Clinical Implications

Clinicians should be vigilant for neurological symptoms in patients with RP and VEXAS, as early recognition can influence management strategies. Differentiating between the neurological manifestations of these conditions is essential for appropriate treatment and care.

Conclusion

In summary, while neurological manifestations in RP and VEXAS are uncommon, their recognition is vital for effective patient management. Further research is needed to clarify the full spectrum of neurological involvement in these conditions.

Related Resources & Content

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  8. Frontiers | What should neurologists expect to observe in relapsing polychondritis and VEXAS?
  9. New ACR Guidance: Diagnosis and Management of VEXAS Syndrome | American College of Rheumatology
  10. Relapsing polychondritis (Concept Id: C0032453) - MedGen - NCBI

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