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新发病的慢性自发性疹在COVID-19疫苗接种后 - 南非病例系列
Valmy Craffert1, Cascia Day1,2, Jonny Peter1,2
1Allergy and Immunology Unit, University of Cape Town Lung Institute, Mowbray, Cape Town, South Africa.
The journal of allergy and clinical immunology. Global
|October 2, 2023
概括
接种COVID-19疫苗很少会引发新发的慢性自发性疹 (CSU). 这个南非病例系列发现CSU症状在几周内出现,通常是在mRNA疫苗后出现的,并且与其他CSU触发因素类似.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 慢性自发性疹 (CSU) 具有持续超过六周的疹和/或血管的特征.
- 虽然一般耐受性很好,但COVID-19疫苗与CSU发病有事相关.
- 这项研究详细介绍了COVID-19疫苗接种引发的CSU的第一个非洲病例系列.
研究的目的:
- 在南非接种COVID-19疫苗后,报告新出现的CSU.
- 总结关于疫苗引发的CSU病例的全球文献.
主要方法:
- 在开普敦疹卓越中心对患者的回顾性审查.
- 纳入标准:在COVID-19疫苗接种12周内新出现的CSU (2021年2月至2022年8月).
- 分析病史,体检和实验室数据.
主要成果:
- 8名患者进行了新发病的CSUCOVID-19后疫苗接种.
- 大多数是女性 (6/8),平均年龄为41岁,有过亚托皮病史.
- CSU的发病发生在接种疫苗后12天的中位数,最常见的是mRNA疫苗 (Pfizer-BioNTech) 后.
- 在63%的患者中发现IgE水平升高;抗组胺治疗往往不足.
结论:
- 接种COVID-19疫苗是新发性CSU的罕见触发因素.
- 疫苗引发的CSU的表现与其他因素引起的类似.
- 在本系列中,mRNA疫苗最常与CSU发展有关.
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