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关于人乳头瘤病毒疫苗接种后日本青春期女孩可能出现的不良反应的长期观察

A Long-Term Observation on the Possible Adverse Effects in Japanese Adolescent Girls after Human Papillomavirus Vaccination.

作者信息

Hineno Akiyo, Ikeda Shu-Ichi

机构信息

Intractable Disease Care Center, Shinshu University Hospital, Matsumoto 390-0802, Japan.

Department of Medicine (Neurology and Rheumatology), School of Medicine, Shinshu University, Matsumoto 390-8621, Japan.

出版信息

Vaccines (Basel). 2021 Aug 4;9(8):856. doi: 10.3390/vaccines9080856.

Abstract

In Japan, a significant number of adolescent females noted unusual symptoms after receiving the human papillomavirus (HPV) vaccination, of which the vast majority of them were initially diagnosed with psychiatric illnesses because of the absence of pathologic radiological images and specific abnormalities in laboratory test results. Later these symptoms were thought to be adverse effects of HPV vaccination. However, a causal link between HPV vaccination and the development of these symptoms has not been demonstrated. Between June 2013 and March 2021, we examined 200 patients who noted various symptoms after HPV vaccination. In total, 87 were diagnosed with HPV vaccination-related symptoms based on our proposed diagnostic criteria. The clinical histories of these 87 patients were analyzed. The age at initial vaccination ranged from 11 to 19 years old (mean ± SD: 13.5 ± 1.5 years old), and the age at the first appearance of symptoms ranged from 12 to 20 years old (mean ± SD: 14.3 ± 1.6 years old). The patients received an initial HPV vaccine injection between May 2010 and May 2013, but the first affected patient developed symptoms in October 2010, and the last affected developed symptoms in October 2015. A cluster of patients with a post-HPV vaccination disorder has not appeared in Japan during the last five years. Our study shows that, in Japan, the period of HPV vaccination considerably overlapped with that of a unique post-HPV vaccination disorder development. This disorder appears as a combination of orthostatic intolerance, chronic regional pain syndrome, and cognitive dysfunction, but its exact pathogenesis remains unclear.

摘要

在日本,相当数量的青春期女性在接种人乳头瘤病毒(HPV)疫苗后出现了异常症状,其中绝大多数人最初因缺乏病理影像学图像和实验室检查结果中的特定异常而被诊断为精神疾病。后来这些症状被认为是HPV疫苗接种的不良反应。然而,HPV疫苗接种与这些症状的发生之间的因果关系尚未得到证实。在2013年6月至2021年3月期间,我们对200名在接种HPV疫苗后出现各种症状的患者进行了检查。根据我们提出的诊断标准,共有87人被诊断为与HPV疫苗接种相关的症状。对这87名患者的临床病史进行了分析。初次接种疫苗的年龄在11至19岁之间(平均±标准差:13.5±1.5岁),症状首次出现的年龄在12至20岁之间(平均±标准差:14.3±1.6岁)。这些患者在2010年5月至2013年5月期间接受了首次HPV疫苗注射,但第一名受影响的患者在2010年10月出现症状,最后一名受影响的患者在2015年10月出现症状。在过去五年中,日本尚未出现一群患有HPV疫苗接种后疾病的患者。我们的研究表明,在日本,HPV疫苗接种期与一种独特的HPV疫苗接种后疾病的发病期有相当大的重叠。这种疾病表现为体位性不耐受、慢性区域疼痛综合征和认知功能障碍的组合,但其确切发病机制仍不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2142/8402449/e78984b567af/vaccines-09-00856-g001.jpg

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