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第二剂 mRNA COVID-19 疫苗接种后皮肤白细胞碎裂性血管炎。

Cutaneous leukocytoclastic vasculitis after second dose of mRNA COVID-19 vaccine.

机构信息

Department of Dermatology, Venereology, and Allergology, University Medical Center and Medical Faculty Mannheim, Heidelberg University, and Center of Excellence in Dermatology, Mannheim, Germany.

出版信息

Dermatol Online J. 2022 Oct 15;28(5). doi: 10.5070/D328559244.

Abstract

Numerous cutaneous reactions following COVID-19 vaccination have already been described. Vasculitis, however, is a rare adverse event, occurring mainly after the first COVID-19 vaccination. Herein, we report a patient with IgA-positive cutaneous leukocytoclastic vasculitis, unresponsive to a moderate dose of systemic corticosteroid that erupted after the second dose of the Pfizer/BioNTech vaccine. Since booster vaccinations are being administered, we intend to raise awareness among clinicians and to highlight this potential reaction and its therapeutic approach.

摘要

已有大量文献描述了 COVID-19 疫苗接种后的各种皮肤反应。然而,血管炎是一种罕见的不良反应,主要发生在首次 COVID-19 疫苗接种后。在此,我们报告了一例 IgA 阳性皮肤白细胞碎裂性血管炎患者,在接受第二剂辉瑞/生物科技疫苗后出现,且对中等剂量的全身皮质类固醇治疗反应不佳。由于正在进行加强针接种,我们旨在提高临床医生的认识,并强调这种潜在的反应及其治疗方法。

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