Last name Karem Roxana (Karem Roxana 
) , in the world, is an extremely rare cognomen. The surname Karem Roxana is characteristic of Latin America and the Caribbean, particularly Chile, where it is a very rare surname. More prevalently, Karem Roxana is the forename as well as the last name.
| VARIANT | COUNTRY |
|---|---|
| Karem Roxana | Chile, Peru, Ecuador |