Department of Diabetes, Endocrinology and Metabolism, Gifu University Graduate School of Medicine, Japan.
Department of Rheumatology and Clinical Immunology, Gifu University Graduate School of Medicine, Japan.
Intern Med. 2022;61(10):1561-1565. doi: 10.2169/internalmedicine.9231-21. Epub 2022 May 15.
Although there is a great demand for increased coronavirus disease 2019 (COVID-19) vaccination worldwide, rare side effects of the vaccine in susceptible individuals are attracting attention. We recently treated a patient with type 1 diabetes who had HLA-A240201/A020101, B5401/B5601, DRB10405/DRB10405, DPB10501/DPB10501 and DQB10401/DQB1040 and developed Graves' disease soon after the administration of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine. While causal relationships between vaccinations and adverse events are difficult to discern due to both confounding and masking factors, our findings suggest that attention to possible adjuvant-related endocrinological diseases in certain individuals receiving SARS-CoV-2 vaccines is appropriate.
尽管全球对 2019 年冠状病毒病(COVID-19)疫苗的需求很大,但疫苗在易感个体中的罕见副作用引起了关注。我们最近治疗了一位患有 1 型糖尿病的患者,该患者 HLA-A240201/A020101、B5401/B5601、DRB10405/DRB10405、DPB10501/DPB10501 和 DQB10401/DQB10401,在接种严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)疫苗后不久就患上了格雷夫斯病。由于混杂和掩盖因素,疫苗接种和不良事件之间的因果关系难以辨别,但我们的发现表明,在接种 SARS-CoV-2 疫苗的某些个体中,应注意可能与佐剂相关的内分泌疾病。