在SARS-CoV-2疫苗接种后,与Sjögren综合征相关的老年发病炎性肌肉病变
Yuta Komori1, Satomi Kobayashi1, Keiko Hatano2
1Department of Medicine and Rheumatology, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Modern rheumatology case reports
|September 20, 2024
概括
这个案例研究突出了老年Sjögren综合征患者SARS-CoV-2疫苗接种后的炎症性肌肉病变. 早期识别自身免疫性疾病的风险因素对于管理疫苗接种后并发症至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 神经学 神经学
- 类风湿病学 类风湿病学
背景情况:
- 自免疫性疾病,包括炎症性肌肉病变,已在SARS-CoV-2疫苗接种后报告.
- 肖格伦综合征 (SS) 可以表现为腺外症状,如炎症性肌肉病变.
研究的目的:
- 在SARS-CoV-2疫苗接种后,在老年患者中报告与Sjögren综合征相关的炎症性肌肉病例.
- 强调认识到免疫遗传倾向对接种疫苗后自身免疫活性的重要性.
主要方法:
- 一个非典型的老年患者的病例报告.
- 炎症性肌肉病变的病理分类.
- 对症状和治疗反应的临床评估.
主要成果:
- 炎症性肌肉病变,被归类为非特异性肌肉炎与B细胞系透,在第一剂SARS-CoV-2mRNA疫苗 (BNT162b2) 接种后发生.
- 与葡萄糖皮质激素,静脉注射免疫球蛋白和免疫抑制剂的联合治疗改善了吞功能和肌肉力量.
结论:
- 患有Sjögren综合征和免疫遗传倾向的个体 (例如,抗SS-A抗体阳性) 可能在接种SARS-CoV-2疫苗后出现炎症性肌肉病.
- 对这种潜在关联的认识对于患者管理至关重要,即使在老年人中也是如此.
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