Tan Hui Min, Hue Susan Swee-Shan, Wee Aileen, See Kay Choong
Department of Pathology, National University Hospital, Singapore 119074, Singapore.
Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, Singapore 119074, Singapore.
Vaccines (Basel). 2021 Oct 29;9(11):1251. doi: 10.3390/vaccines9111251.
With the rapid development of various coronavirus disease 2019 (COVID-19) vaccines in a bid to counter and contain the COVID-19 pandemic, unusual and uncommon side effects of COVID-19 vaccination have been increasingly reported in the literature. Ipsilateral lymphadenopathy is a fairly common side effect of vaccination of any kind, with its etiology most commonly related to reactive lymphadenopathy. However, Kikuchi-Fujimoto Disease (KFD) or necrotizing histiocytic lymphadenitis is rarely observed post-vaccination, with only one other case of KFD post COVID-19 vaccination reported to date. We report two more cases of KFD post COVID-19 vaccination in the Asian population, highlighting the clinical course and salient clinical, radiological and histologic findings. In addition, we provide a literature review of the existing cases of lymphadenopathy post COVID-19 vaccination with cytologic and/or histologic correlation.
为应对和控制2019冠状病毒病(COVID-19)大流行,各种COVID-19疫苗迅速研发,文献中越来越多地报道了COVID-19疫苗不寻常和罕见的副作用。同侧淋巴结病是任何一种疫苗接种相当常见的副作用,其病因最常与反应性淋巴结病有关。然而,接种疫苗后很少观察到菊池-藤本病(KFD)或坏死性组织细胞性淋巴结炎,迄今为止仅报告了1例COVID-19疫苗接种后发生KFD的病例。我们报告了亚洲人群中另外2例COVID-19疫苗接种后发生KFD的病例,突出了临床病程以及显著的临床、放射学和组织学表现。此外,我们对现有COVID-19疫苗接种后淋巴结病病例进行了文献综述,并进行了细胞学和/或组织学相关性分析。