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新型冠状病毒肺炎疫苗相关关节炎:一项关于罕见并发症病例报告的描述性研究

COVID-19 Vaccine-Related Arthritis: A Descriptive Study of Case Reports on a Rare Complication.

作者信息

Dawoud Rand, Haddad Daniel, Shah Viraj, Patel Vraj, Abbas Gohar, Guduru Sai, Dakka Amulya, Kaushik Vishrut, Cheriyath Pramil

机构信息

Medicine, The Hashemite University, Amman, JOR.

Internal Medicine, Rowan University School of Osteopathic Medicine, Glassboro, USA.

出版信息

Cureus. 2022 Jul 9;14(7):e26702. doi: 10.7759/cureus.26702. eCollection 2022 Jul.

Abstract

Large-scale coronavirus disease 2019 (COVID-19) vaccination programs have been rolled out worldwide. Vaccines that are widely used globally include mRNA vaccines, adenoviral vector vaccines, and inactivated whole-virus vaccines. COVID-19 vaccines can lead to varying side effects. Among the most common of these adverse effects are pain at the injection site, fatigue, and headaches. Some side effects, however, are not very well documented, and these include joint-related adverse effects. In this review, we assess the epidemiology and clinical features of post-COVID-19 vaccination joint-related adverse effects based on the analysis of 16 patient case reports. Based on our analysis, we found that females formed the majority of the cases, accounting for 62.5% of patients, while 37.5% of the cases were males. The mean age of presentation among the patients was 54.8 years, with a standard deviation (SD) of 17.49 years. In 37.5% of the cases, patients received the Sinovac vaccine. The proportion of patients who received other vaccines was as follows: the Pfizer vaccine: 31.25%; Sputnik V: 12.5%; Moderna, AstraZeneca, and Covaxin: 6.25% each. The characteristics of joint-related adverse effects following COVID-19 vaccination were analyzed in this study. We identified several key findings related to factors such as age, gender, type of vaccine, clinical features, and diagnosis modality. Our analysis showed that more cases were reported among individuals who received the Sinovac vaccine, as compared to the others. Further research is required to examine the underlying cause of this association.

摘要

大规模的2019冠状病毒病(COVID-19)疫苗接种计划已在全球范围内展开。全球广泛使用的疫苗包括信使核糖核酸(mRNA)疫苗、腺病毒载体疫苗和灭活全病毒疫苗。COVID-19疫苗可能会导致不同的副作用。其中最常见的不良反应包括注射部位疼痛、疲劳和头痛。然而,有些副作用的记录并不十分完善,这些副作用包括与关节相关的不良反应。在本综述中,我们基于对16例患者病例报告的分析,评估了COVID-19疫苗接种后与关节相关不良反应的流行病学和临床特征。基于我们的分析,我们发现女性占病例的大多数,占患者的62.5%,而男性病例占37.5%。患者的平均就诊年龄为54.8岁,标准差为17.49岁。在37.5%的病例中,患者接种的是科兴疫苗。接种其他疫苗患者的比例如下:辉瑞疫苗:31.25%;卫星V疫苗:12.5%;莫德纳疫苗、阿斯利康疫苗和科瓦克辛疫苗:各占6.25%。本研究分析了COVID-19疫苗接种后与关节相关不良反应的特征。我们确定了一些与年龄、性别、疫苗类型、临床特征和诊断方式等因素相关的关键发现。我们的分析表明,与其他疫苗相比,接种科兴疫苗的个体报告的病例更多。需要进一步研究以探究这种关联的潜在原因。

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