Polyarteritis nodosa diagnosed in a young male after COVID-19 vaccine: A case report.

Ayako Makiyama, Yoshiyuki Abe, Hoshiko Furusawa, Masahiro Kogami, Taiki Ando, Kurisu Tada, Mitsuho Onimaru, Akihiro Ishizu, Ken Yamaji, Naoto Tamura
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引用次数: 1

Abstract

In response to the coronavirus disease 2019 pandemic, the coronavirus disease 2019 vaccine was rapidly developed and the effectiveness of the vaccine has been established. However, various adverse effects have been reported, including the development of autoimmune diseases. We report a case of new-onset polyarteritis nodosa in a 32-year-old male following the coronavirus disease 2019 vaccination. The patient developed limb pain, fever, pulmonary embolism, multiple subcutaneous nodules, and haematomas. Skin biopsy revealed necrotising inflammation accompanied by fibrinoid necrosis and high inflammatory cell infiltration in the walls of medium to small arteries. The symptoms resolved following corticosteroid treatment. Although it is difficult to prove a relationship between the vaccine and polyarteritis nodosa, similar cases have been reported and further reports and analyses are therefore necessary.

一名年轻男性在接种 COVID-19 疫苗后被诊断为多发性结节炎:病例报告
为应对冠状病毒病 2019 年的大流行,冠状病毒病 2019 年疫苗被迅速开发出来,疫苗的有效性已得到证实。然而,也有各种不良反应的报道,包括自身免疫性疾病的发生。我们报告了一例接种冠状病毒病 2019 疫苗后新发多发性结节性动脉炎的 32 岁男性患者。患者出现肢体疼痛、发热、肺栓塞、多发性皮下结节和血肿。皮肤活检发现坏死性炎症,伴有纤维素性坏死,中小动脉壁有大量炎性细胞浸润。皮质类固醇治疗后症状缓解。虽然很难证明疫苗与结节性多动脉炎之间的关系,但类似病例已有报道,因此有必要进一步报告和分析。
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