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一项关于接种科兴新冠疫苗后报告的皮肤反应的前瞻性多中心研究。

A prospective multicenter study on cutaneous reactions reported after Sinopharm COVID-19 vaccination.

机构信息

Department of Dermatology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

出版信息

Int J Dermatol. 2023 Feb;62(2):221-224. doi: 10.1111/ijd.16391. Epub 2022 Aug 12.

Abstract

BACKGROUND

The new coronavirus COVID-19 pandemic has had an unprecedented impact on global health and economic growth. A widely used vaccine is the weakened inactivated severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) virus (Sinopharm). Following major SARS-CoV-2 vaccination campaigns, cutaneous symptoms are on the rise.

METHODS

This study is a prospective observational study evaluating cutaneous reactions and time of recovery after Sinopharm vaccination. The cases involved were over the age of 18. The data were anonymized. On the registry's vaccine section, we tracked vaccination dates, skin reactions, and recovery times. All respondents who reported only a cutaneous reaction to the first vaccination dose received a follow-up contact asking about a second vaccination dose cutaneous reaction.

RESULTS

The study included 4560 cases. The mean age of all studied cases was 41.2 ± 6.1 years. There were dermatologic complications in 1190 patients (26.1%). There was induration at the injection site in 495 patients (10.9%), urticaria in 210 patients (4.6%), morbilliform eruption in 375 patients (8.2%), flare of skin site in 105 patients (2.3%), and angioedema in 105 patients (2.3%). The mean recovery days in all studied patients were 2.92 ± 0.94 days with a minimum recovery period of 2 days and a maximum of 7 days.

CONCLUSIONS

Because Sinopharm's cutaneous reactions are frequently mild and self-limiting, vaccination should not be discouraged based on these findings. If the first vaccine dose creates a cutaneous reaction, there is no need to skip the second dose.

摘要

背景

新型冠状病毒 COVID-19 大流行对全球健康和经济增长造成了前所未有的影响。一种广泛使用的疫苗是减毒的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)病毒(国药)。在大规模 SARS-CoV-2 疫苗接种运动后,皮肤症状呈上升趋势。

方法

本研究是一项评估国药接种后皮肤反应和恢复时间的前瞻性观察研究。纳入的病例年龄在 18 岁以上。数据经过匿名处理。在登记册的疫苗部分,我们跟踪接种日期、皮肤反应和恢复时间。所有报告仅对第一剂疫苗有皮肤反应的受访者都收到了后续联系,询问第二剂疫苗的皮肤反应。

结果

该研究纳入了 4560 例病例。所有研究病例的平均年龄为 41.2±6.1 岁。1190 例患者(26.1%)有皮肤科并发症。495 例患者(10.9%)有注射部位硬结,210 例患者(4.6%)有荨麻疹,375 例患者(8.2%)有麻疹样皮疹,105 例患者(2.3%)有皮疹发作,105 例患者(2.3%)有血管性水肿。所有研究患者的平均恢复天数为 2.92±0.94 天,最短恢复时间为 2 天,最长为 7 天。

结论

由于国药的皮肤反应通常较轻且为自限性,不应根据这些发现劝阻接种疫苗。如果第一剂疫苗引起皮肤反应,无需跳过第二剂。

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