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新型冠状病毒肺炎疫苗相关自身免疫性疾病

Corona Virus Disease-19 Vaccine-associated Autoimmune Disorders.

作者信息

Awan Marriam Hussain, Samreen Saba, Salim Babur, Gul Haris, Perveen Shahida, Nasim Amjad

机构信息

Postgraduate Resident in Rheumatology, Fauji Foundation Hospital, Rawalpindi, Pakistan.

出版信息

Rheumatol Immunol Res. 2022 Oct 20;3(3):111-119. doi: 10.2478/rir-2022-0019. eCollection 2022 Oct.

Abstract

Coronavirus disease is a highly infectious viral disease caused by severe acute respiratory syndrome virus (SARS nCoV2). It was declared a pandemic within a few months of identification of its index case. The spread of COVID-19 across the globe was rampant, overwhelming healthcare systems and crippling global economies. Since the world was caught off guard by the pandemic, vaccine programs had to be rolled out in emergency to curb its spread. Ten vaccines have been granted Emergency Use Authorization thus far. Much of the side effects we know today are post-marketing adverse effects. Most of them are mild like myalgia and injection-site reactions, but a few of them such as post-vaccination autoimmune diseases have alerted the medical community. These include vaccine-induced thrombotic thrombocytopenia, autoimmune hepatitis, myocarditis, and Graves' disease. We attempt to summarize the diverse autoimmune phenomena reported after COVID-19 vaccination, with an aim to sensitize the medical community so that they can be better equipped in management when confronted with these diseases. This review by no means refutes the potential benefit of COVID-19 vaccination which has consolidated its place in preventing infections and substantially reducing severity and mortality.

摘要

冠状病毒病是一种由严重急性呼吸综合征病毒(SARS-CoV-2)引起的高传染性病毒性疾病。在确认首例病例后的几个月内,它就被宣布为大流行病。COVID-19在全球范围内迅速传播,压垮了医疗系统,使全球经济陷入瘫痪。由于全球对这一流行病毫无防备,疫苗计划不得不紧急推出以遏制其传播。到目前为止,已有十种疫苗获得了紧急使用授权。我们目前所了解的大部分副作用都是上市后出现的不良反应。其中大多数是轻微的,如肌肉疼痛和注射部位反应,但其中一些,如接种疫苗后的自身免疫性疾病,已经引起了医学界的警觉。这些疾病包括疫苗诱导的血栓性血小板减少症、自身免疫性肝炎、心肌炎和格雷夫斯病。我们试图总结COVID-19疫苗接种后报告的各种自身免疫现象,目的是提高医学界的认识,以便在面对这些疾病时能更好地进行管理。本综述绝不是要否定COVID-19疫苗接种的潜在益处,疫苗接种在预防感染、大幅降低疾病严重程度和死亡率方面的作用已得到确立。

相似文献

1
Corona Virus Disease-19 Vaccine-associated Autoimmune Disorders.新型冠状病毒肺炎疫苗相关自身免疫性疾病
Rheumatol Immunol Res. 2022 Oct 20;3(3):111-119. doi: 10.2478/rir-2022-0019. eCollection 2022 Oct.
3
New-onset autoimmune phenomena post-COVID-19 vaccination.接种 COVID-19 疫苗后出现的新自身免疫现象。
Immunology. 2022 Apr;165(4):386-401. doi: 10.1111/imm.13443. Epub 2022 Jan 7.

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