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接种 SARS-CoV-2 疫苗后的反应性关节炎:病例系列及小型综述。

Reactive arthritis after vaccination against SARS-CoV-2: A case series and a mini-review.

机构信息

Students' Scientific Group of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland.

Department of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland.

出版信息

Hum Vaccin Immunother. 2023 Dec 31;19(1):2173912. doi: 10.1080/21645515.2023.2173912. Epub 2023 Feb 6.

Abstract

The rapid development of COVID-19 vaccines became essential for addressing the global pandemic. Reactive arthritis after vaccination has been a rare phenomenon. Here, we present a case series of three patients with joint inflammation possibly attributed to COVID-19 immunization (mRNA and live adenovirus vectored vaccine). Symptoms were alleviated using non-steroid anti-inflammatory drugs and glucocorticoids. After follow-up, the patients have not been diagnosed with any other rheumatic disease. Reactive arthritis after the COVID-19 vaccine is an unusual adverse effect and poses a negligible risk in comparison to the benefits of immunization, but it should be considered in differential diagnostics by a practicing rheumatologist who cares for patients with new-onset arthritis without apparent cause at the time of pandemic.

摘要

译文

新冠疫苗的快速发展对于应对全球大流行至关重要。疫苗接种后发生反应性关节炎是一种罕见现象。在这里,我们报告了三例可能与 COVID-19 免疫(mRNA 和活腺病毒载体疫苗)相关的关节炎症患者病例系列。使用非甾体抗炎药和糖皮质激素缓解了症状。随访后,患者未被诊断出患有任何其他风湿性疾病。新冠疫苗接种后的反应性关节炎是一种不常见的不良反应,与免疫接种的益处相比,风险可以忽略不计,但在大流行期间,当出现无明显原因的新发关节炎时,治疗关节炎的风湿病医生在鉴别诊断中应考虑这一因素。

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本文引用的文献

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Reactive arthritis following COVID-19 vaccination with BNT162b2.接种BNT162b2新冠疫苗后发生的反应性关节炎。
JAAD Case Rep. 2022 Jun;24:108-111. doi: 10.1016/j.jdcr.2022.04.026. Epub 2022 May 11.
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Reactive arthritis before and after the onset of the COVID-19 pandemic.COVID-19 大流行前后的反应性关节炎。
Clin Rheumatol. 2022 Jun;41(6):1641-1652. doi: 10.1007/s10067-022-06120-3. Epub 2022 Mar 5.
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Arthritis following COVID-19 vaccination: report of two cases.接种 COVID-19 疫苗后的关节炎:两例报告。
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