Corona Virus Disease-19 Vaccine-associated Autoimmune Disorders.

Rheumatology and immunology research Pub Date : 2022-10-20 eCollection Date: 2022-10-01 DOI:10.2478/rir-2022-0019
Marriam Hussain Awan, Saba Samreen, Babur Salim, Haris Gul, Shahida Perveen, Amjad Nasim
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Abstract

Coronavirus disease is a highly infectious viral disease caused by severe acute respiratory syndrome virus (SARS nCoV2). It was declared a pandemic within a few months of identification of its index case. The spread of COVID-19 across the globe was rampant, overwhelming healthcare systems and crippling global economies. Since the world was caught off guard by the pandemic, vaccine programs had to be rolled out in emergency to curb its spread. Ten vaccines have been granted Emergency Use Authorization thus far. Much of the side effects we know today are post-marketing adverse effects. Most of them are mild like myalgia and injection-site reactions, but a few of them such as post-vaccination autoimmune diseases have alerted the medical community. These include vaccine-induced thrombotic thrombocytopenia, autoimmune hepatitis, myocarditis, and Graves' disease. We attempt to summarize the diverse autoimmune phenomena reported after COVID-19 vaccination, with an aim to sensitize the medical community so that they can be better equipped in management when confronted with these diseases. This review by no means refutes the potential benefit of COVID-19 vaccination which has consolidated its place in preventing infections and substantially reducing severity and mortality.

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科罗娜病毒病-19 疫苗相关自身免疫性疾病。
冠状病毒病是由严重急性呼吸系统综合症病毒(SARS nCoV2)引起的一种高度传染性病毒疾病。在确定其指数病例后的几个月内,它就被宣布为大流行病。COVID-19 在全球范围内肆意传播,使医疗系统不堪重负,全球经济陷入瘫痪。由于大流行让全世界措手不及,疫苗计划不得不紧急推出,以遏制其传播。迄今为止,已有十种疫苗获得了紧急使用授权。我们今天所知的副作用大多是上市后的不良反应。大多数副作用都很轻微,如肌痛和注射部位反应,但也有少数副作用,如接种后自身免疫性疾病,引起了医学界的警觉。这些疾病包括疫苗诱发的血栓性血小板减少症、自身免疫性肝炎、心肌炎和巴塞杜氏病。我们试图总结接种 COVID-19 疫苗后报告的各种自身免疫现象,目的是提高医学界的敏感性,使他们在面对这些疾病时能更好地进行处理。COVID-19疫苗在预防感染、大大降低严重程度和死亡率方面的地位已经得到巩固,本综述绝非否定COVID-19疫苗的潜在益处。
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