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疫苗诱导的免疫性血栓性血小板减少症:我们已知和未知的。

Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.

机构信息

Division of Hematology, Duke University Medical Center, Durham, NC.

出版信息

Blood. 2021 Jul 29;138(4):293-298. doi: 10.1182/blood.2021012152. Epub 2021 Jun 1.

Abstract

The development of vaccines to fight COVID-19 has been a remarkable medical achievement. However, this global immunization effort has been complicated by a rare vaccine-related outcome characterized by thrombocytopenia and thrombosis in association with platelet-activating anti-platelet factor 4 antibodies. In this Spotlight, we will discuss the recently described complication of vaccine-induced immune thrombotic thrombocytopenia (VITT) occurring in response to certain COVID-19 vaccines. Although information about this clinical condition is rapidly evolving, we will summarize our current understanding of VITT.

摘要

疫苗的研发对抗击 COVID-19 取得了显著的医学成就。然而,这种全球免疫工作因一种罕见的疫苗相关结果而变得复杂,这种结果的特征是与血小板激活抗血小板因子 4 抗体相关的血小板减少症和血栓形成。在这个焦点问题中,我们将讨论最近描述的与某些 COVID-19 疫苗反应相关的疫苗诱导免疫性血栓性血小板减少症 (VITT) 的并发症。虽然有关这种临床情况的信息正在迅速发展,但我们将总结我们目前对 VITT 的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc6/8323974/fad272576d66/bloodBLD2021012152Cabsf1.jpg

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