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成人接种SARS-CoV-2疫苗后突发累及重要器官的IgA血管炎

Sudden Onset of IgA Vasculitis Affecting Vital Organs in Adult Patients following SARS-CoV-2 Vaccines.

作者信息

Choi Yunjung, Lee Chang Hun, Kim Kyoung Min, Yoo Wan-Hee

机构信息

Division of Rheumatology, Department of Internal Medicine, Jeonbuk National University Medical School, Jeonju City 54907, Korea.

Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju City 54907, Korea.

出版信息

Vaccines (Basel). 2022 Jun 9;10(6):923. doi: 10.3390/vaccines10060923.

Abstract

IgA vasculitis is an immune complex-mediated small-vessel vasculitis that mainly occurs in children and is characterized by palpable purpura, arthralgia, abdominal pain, and glomerulonephritis. We report three cases of new-onset IgA vasculitis involving major organs in adult patients after they received either the ChAdOx1 viral vector (Oxford/AstraZeneca) vaccine or the messenger RNA-1273 (Moderna) vaccine. These cases suggest that COVID-19 vaccines have the potential to trigger IgA vasculitis and indicate that physicians need to monitor for this possible complication.

摘要

IgA血管炎是一种免疫复合物介导的小血管炎,主要发生于儿童,其特征为可触及的紫癜、关节痛、腹痛和肾小球肾炎。我们报告了3例成年患者在接种ChAdOx1病毒载体(牛津/阿斯利康)疫苗或信使核糖核酸-1273(莫德纳)疫苗后新发累及主要器官的IgA血管炎病例。这些病例提示,2019冠状病毒病(COVID-19)疫苗有可能引发IgA血管炎,并表明医生需要监测这种可能的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55d6/9229537/ef4a2d47d5b6/vaccines-10-00923-g001.jpg

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