Bilateral upper extremity myositis after COVID-19 vaccination
Ivan Rodrigues Barros Godoy1, Tatiane Cantarelli Rodrigues1, Abdalla Youssef Skaf1
1Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, Brazil.
COVID-19 vaccination can cause rare muscle edema (myositis) in the shoulders and arms. Imaging is crucial for distinguishing this reaction from infections or tumors.
Area of Science:
- Immunology
- Radiology
- Pathology
Background:
- Adverse reactions following vaccination are typically mild and transient.
- Myositis, or muscle inflammation, is a less common but recognized post-vaccination complication.
Observation:
- A case of bilateral shoulder and arm myositis occurred after COVID-19 vaccination.
- The patient presented with significant muscle swelling.
Findings:
- Imaging studies, including MRI and ultrasound, revealed extensive bilateral muscle edema.
- These findings helped exclude infectious or neoplastic etiologies.
Implications:
- This case highlights the importance of recognizing myositis as a potential post-COVID-19 vaccination adverse event.
- Radiological assessment is key to differentiating vaccine-induced myositis from other serious conditions like infection or tumors.
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