Martora Fabrizio, Battista Teresa, Potestio Luca, Napolitano Maddalena, Patruno Cataldo, Megna Matteo, D'Agostino Michela
Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Pansini 5, 80131 Napoli, Italy.
Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.
Viruses. 2024 Dec 9;16(12):1896. doi: 10.3390/v16121896.
The COVID-19 pandemic has encouraged the rapid development and licensing of vaccines against SARS-CoV-2. Currently, numerous vaccines are available on a global scale and are based on different mechanisms of action, including mRNA technology, viral vectors, inactive viruses, and subunit particles. Mass vaccination conducted worldwide has highlighted the potential development of side effects, including ones with skin involvement. This review synthesizes data from 62 manuscripts, reporting a total of 142 cases of autoimmune blistering skin diseases (AIBDs) following COVID-19 vaccination, comprising 59 cases of pemphigus and 83 cases of bullous pemphigoid. Among the 83 bullous pemphigoid cases, 78 were BP, with additional cases including 2 oral mucous membrane pemphigoid, 1 pemphigoid gestationis, 1 anti-p200 BP, and 1 dyshidrosiform BP. The mean age of affected individuals was 72 ± 12.7 years, with an average symptom onset of 11 ± 10.8 days post-vaccination. Notably, 59% of cases followed vaccination with BNT162b2 (Pfizer-BioNTech), 51.8% were new diagnoses, and 45.8% occurred after the second dose. The purpose of our review is to analyze the cases of pemphigus and bullous pemphigoid associated with COVID-19 vaccination and to investigate the pathogenetic mechanisms underlying the new development or flare-up of these diseases in association with vaccination. Our results show that the association between COVID-19 vaccines and AIBDs is a possible event.
新冠疫情推动了针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)疫苗的快速研发和许可。目前,全球范围内有多种疫苗可供使用,它们基于不同的作用机制,包括信使核糖核酸(mRNA)技术、病毒载体、灭活病毒和亚单位颗粒。在全球范围内进行的大规模疫苗接种凸显了副作用的潜在发生情况,包括涉及皮肤的副作用。本综述综合了62篇文献的数据,报告了新冠疫苗接种后总共142例自身免疫性大疱性皮肤病(AIBD)病例,其中包括59例天疱疮和83例大疱性类天疱疮。在83例大疱性类天疱疮病例中,78例为典型大疱性类天疱疮,另外还包括2例口腔黏膜类天疱疮、1例妊娠类天疱疮、1例抗p200大疱性类天疱疮和1例汗疱状大疱性类天疱疮。受影响个体的平均年龄为72±12.7岁,平均症状出现时间为接种疫苗后11±10.8天。值得注意的是,59%的病例在接种BNT162b2(辉瑞-生物科技公司)疫苗后出现,51.8%为新诊断病例,45.8%发生在第二剂疫苗接种后。我们综述的目的是分析与新冠疫苗接种相关的天疱疮和大疱性类天疱疮病例,并研究这些疾病在疫苗接种后新发病或病情加重的潜在发病机制。我们的结果表明,新冠疫苗与AIBD之间的关联是一个可能发生的事件。
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