接种ChAdOx1 nCoV-19疫苗后出现眼部症状的重症肌无力：一例报告
Myasthenia gravis with ocular symptoms following a ChAdOx1 nCoV-19 vaccination: A case report.
作者信息
Kang Min Chae, Park Kyung-Ah, Min Ju-Hong, Oh Sei Yeul
机构信息
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
出版信息
Am J Ophthalmol Case Rep. 2022 Jun 25;27:101620. doi: 10.1016/j.ajoc.2022.101620. eCollection 2022 Sep.
Abstract
PURPOSE
We report on the case of a 35-year-old man who developed myasthenia gravis with ocular symptoms following a ChAdOx1 nCoV-19 vaccine injection.
OBSERVATIONS
A 35-year-old man complained of binocular diplopia one month following ChAdOx1 nCoV-19 vaccination. He had weak infraduction of the left eye. Upper and lower extremity strength was normal on presentation. A serum antiacetylcholine receptor antibody titer was elevated at 1.60 nmol/L. His diplopia improved temporarily following the application of an ice pack for 2 min.
CONCLUSIONS AND IMPORTANCE
This case report describes a rare occurrence of myasthenia gravis with ocular symptoms as a potential complication of ChAdOx1 nCoV-19 vaccination.
摘要
目的
我们报告一例35岁男性在接种ChAdOx1 nCoV-19疫苗后出现伴有眼部症状的重症肌无力病例。
观察结果
一名35岁男性在接种ChAdOx1 nCoV-19疫苗后一个月出现双眼复视。他左眼的下转功能减弱。就诊时上肢和下肢力量正常。血清抗乙酰胆碱受体抗体滴度升高至1.60 nmol/L。冰敷2分钟后他的复视症状暂时改善。
结论及重要性
本病例报告描述了接种ChAdOx1 nCoV-19疫苗后罕见出现的伴有眼部症状的重症肌无力，这是一种潜在并发症。
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