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一名类风湿关节炎患者接种BNT162b2新冠mRNA疫苗后可能出现的不良反应——短暂性肺炎:一例病例报告及文献综述

Transient Pneumonitis as a Possible Adverse Reaction to the BNT162b2 COVID-19 mRNA Vaccine in a Patient with Rheumatoid Arthritis: A Case Report and Review of the Literature.

作者信息

Ohkubo Yusuke, Ohmura Shin-Ichiro, Ishihara Ryuhei, Miyamoto Toshiaki

机构信息

Department of Rheumatology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.

出版信息

Case Rep Rheumatol. 2022 Aug 23;2022:3124887. doi: 10.1155/2022/3124887. eCollection 2022.

DOI:10.1155/2022/3124887
PMID:36052104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9427306/
Abstract

The coronavirus disease (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 has led to rapid progress in vaccine development to prevent the spread of the disease. Although COVID-19 vaccines have excellent effectiveness in reducing morbidity and disease severity with minor adverse reactions, some patients develop late hypersensitivity events as autoimmune reactions such as rheumatoid arthritis, lupus nephritis, and vasculitis following COVID-19 vaccination. Herein, we describe a case of pneumonitis following COVID-19 mRNA vaccination in a patient with rheumatoid arthritis, which resolved spontaneously.

摘要

由严重急性呼吸综合征冠状病毒2引起的冠状病毒病(COVID-19)大流行促使疫苗研发取得了快速进展,以防止该疾病的传播。尽管COVID-19疫苗在降低发病率和疾病严重程度方面具有出色的有效性,且不良反应较小,但一些患者在接种COVID-19疫苗后会出现迟发性超敏反应,如类风湿性关节炎、狼疮性肾炎和血管炎等自身免疫反应。在此,我们描述了1例类风湿性关节炎患者在接种COVID-19 mRNA疫苗后发生肺炎的病例,该病例自行缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df63/9427306/15c22ffcb790/CRIRH2022-3124887.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df63/9427306/15c22ffcb790/CRIRH2022-3124887.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df63/9427306/15c22ffcb790/CRIRH2022-3124887.001.jpg

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本文引用的文献

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ANCA-associated vasculitis following ChAdOx1 nCoV19 vaccination: case-based review.接种 ChAdOx1 nCoV-19 疫苗后的抗中性粒细胞胞质抗体相关性血管炎:基于病例的综述。
Rheumatol Int. 2022 Apr;42(4):749-758. doi: 10.1007/s00296-021-05069-x. Epub 2022 Feb 5.
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Post-COVID-19 vaccination IgA vasculitis in an adult.成人接种 COVID-19 疫苗后 IgA 血管炎。
J Cutan Pathol. 2022 Apr;49(4):385-387. doi: 10.1111/cup.14168. Epub 2021 Nov 30.
3
COVID-19 mRNA Vaccine-induced Pneumonitis.COVID-19 mRNA 疫苗诱发的肺炎。
Intern Med. 2022 Jan 1;61(1):81-86. doi: 10.2169/internalmedicine.8310-21. Epub 2021 Oct 26.
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A case of severe interstitial lung disease after COVID-19 vaccination.1例COVID-19疫苗接种后发生的严重间质性肺疾病病例。
QJM. 2022 Jan 5;114(11):805-806. doi: 10.1093/qjmed/hcab263.
5
Seropositive rheumatoid arthritis after vaccination against SARS-CoV-2 infection.接种抗SARS-CoV-2感染疫苗后出现血清阳性类风湿性关节炎。
Int J Rheum Dis. 2021 Nov;24(11):1440-1441. doi: 10.1111/1756-185X.14220. Epub 2021 Sep 29.
6
COVID-19 vaccine induced interstitial lung disease.COVID-19 疫苗诱发的间质性肺病。
J Infect Chemother. 2022 Jan;28(1):95-98. doi: 10.1016/j.jiac.2021.09.010. Epub 2021 Sep 20.
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