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COVID-19 疫苗接种引起的皮肤反应的临床观察与分析。

Clinical observation and analysis of skin reactions caused by COVID-19 vaccination.

机构信息

Department of Dermatology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Dermatology Department, The Fifth People's Hospital of Hainan Province, Haikou, China.

出版信息

Dermatol Ther. 2022 Oct;35(10):e15746. doi: 10.1111/dth.15746. Epub 2022 Aug 10.

Abstract

The novel coronavirus disease 2019 (COVID-19) vaccination is now an essential strategy for controlling the COVID-19 epidemic. This study included 132 cases of adverse skin reactions after the injection of COVID-19 vaccination from January 2021 to January 2022. The rate of adverse skin reactions after the 1st, 2nd, and 3rd doses of the COVID-19 vaccine were 52%, 40%, and 8% of total adverse skin reactions, respectively. The Urticaria-like rash was the most common manifestation of all adverse skin reactions, accounting for 40.15% of all adverse reactions. The Eczema-like rash was 27.27%. The rates of adverse skin reactions after vaccination with the COVID-19 vaccine in patients with a previous skin disease was 12.12%. Other rare skin adverse reactions after COVID-19 vaccination included herpes zoster, pityriasis rosea, erythema multiforme, chickenpox, herpes simplex, psoriasis, erythrodermatitis, arthus reaction, lichen planus recurrence, measles-like rash, frostbite rash, seborrhea, and vitiligo. There were 23 cases of adverse skin reactions in the same individual after two doses of COVID-19 vaccine. There were three cases of adverse skin reactions in the same person after three doses of the vaccine. Treatment measures are mostly mild regimens, such as oral antihistamines, compounded glycopyrrolate and topical weak to moderately potent corticosteroid creams. The total duration of these skin adverse reactions ranged from 2 weeks to 1 month.

摘要

新型冠状病毒病 2019(COVID-19)疫苗接种现在是控制 COVID-19 疫情的重要策略。本研究纳入了 2021 年 1 月至 2022 年 1 月期间注射 COVID-19 疫苗后发生的 132 例不良皮肤反应病例。COVID-19 疫苗第 1、2 和 3 剂次的不良皮肤反应发生率分别为总不良皮肤反应的 52%、40%和 8%。荨麻疹样皮疹是所有不良皮肤反应中最常见的表现,占所有不良反应的 40.15%。湿疹样皮疹占 27.27%。有既往皮肤病的患者接种 COVID-19 疫苗后的不良皮肤反应发生率为 12.12%。COVID-19 疫苗接种后其他罕见的皮肤不良反应包括带状疱疹、玫瑰糠疹、多形红斑、水痘、单纯疱疹、银屑病、红皮病、阿瑟反应、扁平苔藓复发、麻疹样皮疹、冻疮样皮疹、脂溢性皮炎和白癜风。有 23 例患者在接种两剂 COVID-19 疫苗后出现了 23 例不良皮肤反应,有 3 例患者在接种三剂疫苗后出现了 3 例不良皮肤反应。治疗措施大多为轻度方案,如口服抗组胺药、复方羟甲泼尼龙和外用弱至中效皮质类固醇乳膏。这些皮肤不良反应的总持续时间从 2 周到 1 个月不等。

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