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新型冠状病毒肺炎疫苗接种后的天疱疮和大疱性类天疱疮:一项系统评价

Pemphigus and Bullous Pemphigoid Following COVID-19 Vaccination: A Systematic Review.

作者信息

Martora Fabrizio, Battista Teresa, Potestio Luca, Napolitano Maddalena, Patruno Cataldo, Megna Matteo, D'Agostino Michela

机构信息

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.

出版信息

Viruses. 2024 Dec 9;16(12):1896. doi: 10.3390/v16121896.


DOI:10.3390/v16121896
PMID:39772203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11680142/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ad/11680142/aeadbd84ebe0/viruses-16-01896-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ad/11680142/aeadbd84ebe0/viruses-16-01896-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04ad/11680142/aeadbd84ebe0/viruses-16-01896-g001.jpg

相似文献

[1]
Pemphigus and Bullous Pemphigoid Following COVID-19 Vaccination: A Systematic Review.

Viruses. 2024-12-9

[2]
A systematic review on efficacy, safety and treatment durability of intravenous immunoglobulin in autoimmune bullous dermatoses: Special focus on indication and combination therapy.

Exp Dermatol. 2023-7

[3]
A systematic review on mucocutaneous presentations after COVID-19 vaccination and expert recommendations about vaccination of important immune-mediated dermatologic disorders.

Dermatol Ther. 2022-6

[4]
Risk of myocarditis and pericarditis after a COVID-19 mRNA vaccine booster and after COVID-19 in those with and without prior SARS-CoV-2 infection: A self-controlled case series analysis in England.

PLoS Med. 2023-6

[5]
Interventions for bullous pemphigoid.

Cochrane Database Syst Rev. 2023-8-11

[6]
Headache onset after vaccination against SARS-CoV-2: a systematic literature review and meta-analysis.

J Headache Pain. 2022-3-31

[7]
Autoimmune mucocutaneous blistering diseases after SARS-Cov-2 vaccination: A Case report of Pemphigus Vulgaris and a literature review.

Pathol Res Pract. 2022-4

[8]
A landscape on disorders following different COVID-19 vaccination: a systematic review of Iranian case reports.

Eur J Med Res. 2023-11-26

[9]
Evidence-based treatments for pemphigus vulgaris, pemphigus foliaceus, and bullous pemphigoid: a systematic review.

Indian J Dermatol Venereol Leprol. 2011

[10]
Evaluation of adverse events and comorbidity exacerbation following the COVID-19 booster dose: A national survey among randomly-selected booster recipients.

PLoS One. 2025-7-11

本文引用的文献

[1]
New-onset or flare-up of bullous pemphigoid associated with COVID-19 vaccines: a systematic review of case report and case series studies.

Front Med (Lausanne). 2024-4-8

[2]
The role of COVID-19 vaccines in the development and recurrence of pemphigus and bullous pemphigoid.

J Eur Acad Dermatol Venereol. 2024-8

[3]
Intractable pemphigus foliaceus after COVID-19 mRNA vaccination.

J Dermatol. 2024-7

[4]
Pemphigus: trigger and predisposing factors.

Front Med (Lausanne). 2023-12-27

[5]
Pemphigus Foliaceus after COVID-19 Vaccination: A Report of Two Cases.

Case Rep Dermatol Med. 2023-10-19

[6]
Clinicopathological characteristics of cutaneous complications following COVID-19 vaccination: A case series.

J Cosmet Dermatol. 2024-3

[7]
Vitiligo Following COVID-19 Vaccination and Primary Infection: A Case Report and Systematic Review.

Cureus. 2023-9-19

[8]
Autoimmune bullous disorder flares following severe acute respiratory syndrome coronavirus 2 vaccination: a case series.

J Med Case Rep. 2023-9-26

[9]
Bullous pemphigoid associated with prodromal-phase by repeated COVID-19 vaccinations.

J Dermatol. 2024-1

[10]
A severe relapse of pemphigus vulgaris after SARS-CoV-2 vaccination.

J Eur Acad Dermatol Venereol. 2023-12

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