在COVID-19疫苗接种后,手腕延伸器紧突炎.
Andrew Jeong1, Thomas John Carroll1, Ronald Gonzalez1
1Department of Orthopaedic Surgery, University of Rochester, Rochester, NY.
Journal of hand surgery global online
|December 18, 2023
概括
一名妇女在接种COVID-19疫苗后出现了痛苦的结节和紧关节炎. 持续症状和复发需要进行手术干预,突出显示了潜在的疫苗相关炎症反应.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- mRNA-1273疫苗 (Moderna) 是一种广泛使用的COVID-19疫苗.
- 接种疫苗后的不良反应通常是轻微的和短暂的.
- 疫苗接种后可能出现罕见的炎症状况.
研究的目的:
- 在mRNA-1273 COVID-19疫苗接种后报告一例紧突炎.
- 描述这种罕见的不良事件的临床表现,诊断和管理.
主要方法:
- 一个54岁妇女的病例报告.
- 使用临床检查,成像研究 (超声波/MRI) 和手术切除.
- 对切除的组织进行了组织病理学分析.
主要成果:
- 接种疫苗后,该患者在左手腕延伸器隔间出现了疼痛的结节和紧关节炎.
- 最初的保守管理是不够的.
- 需要进行外科切除,复发需要重复手术.
结论:
- 紧张突炎可能是mRNA-1273 COVID-19疫苗的罕见局部不良反应.
- 持续或反复出现的症状可能需要手术干预.
- 对疫苗相关的炎症肌肉骨疾病的进一步调查是有必要的.
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