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一名患有原发性干燥综合征的老年患者接种mRNA新冠疫苗后发生自身免疫性肝炎:病例报告

Autoimmune Hepatitis Following mRNA COVID-19 Vaccination in a Very Old Patient With Preexisting Sjögren's Syndrome: A Case Report.

作者信息

Yoshida Yukinari, Iwata Norikazu, Ishii Yoshifumi, Hinoda Yuji, Endo Takao

机构信息

Department of Internal Medicine and Gastroenterology, Sapporo Shirakabadai Hospital, Sapporo, JPN.

Department of Pathology, Sapporo Shirakabadai Hospital, Sapporo, JPN.

出版信息

Cureus. 2022 Oct 31;14(10):e30896. doi: 10.7759/cureus.30896. eCollection 2022 Oct.

Abstract

A case of autoimmune hepatitis (AIH) following COVID-19 vaccination in a very old patient is presented. An 85-year-old woman who had preexisting Sjögren's syndrome (SS) but had never shown evidence of liver disease was admitted to our hospital due to jaundice and liver dysfunction. Further laboratory tests, imaging studies, and liver histology proved this to be a case of definite AIH. Eight weeks before the disease onset, she had received the second dose of mRNA COVID-19 vaccination. To our knowledge, this is the first case of AIH following COVID-19 vaccination in a patient with a history of SS.

摘要

本文报告了一例老年患者在接种新冠病毒疫苗后发生自身免疫性肝炎(AIH)的病例。一名85岁女性,既往患有干燥综合征(SS),但从未有过肝病证据,因黄疸和肝功能不全入住我院。进一步的实验室检查、影像学研究和肝脏组织学检查证实这是一例确诊的AIH。在发病前八周,她接种了第二剂mRNA新冠病毒疫苗。据我们所知,这是首例有SS病史的患者在接种新冠病毒疫苗后发生AIH的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2e/9711889/91a78728982d/cureus-0014-00000030896-i01.jpg

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