IgA Vasculitis following AstraZeneca/Oxford COVID-19, case report.

Nasser Alzoabi, Jamal Alqahtani, Bader Algamdi, Nada Alghamdi, Ayesha Ahmad, Gaeda Alkaltham, Tala Beidas, Omar Alakloby
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Abstract

Immunoglobulin A (IgA) vasculitis, also known as Henoch-Schönlein purpura, is an immune-mediated vasculitis that affects small vessels. IgA vasculitis could be triggered by numerous conditions including infectious and non-infectious conditions. So far, few reported cases of Covid-19 vaccines related vasculitis. We report a case of IgA vasculitis after AstraZeneca/Oxford COVID-19 vaccine. A 29-year-old healthy man who developed purpuric skin lesions one week after his second AstraZeneca/Oxford COVID-19 vaccine which complicated by glomerulonephritis and gastrointestinal involvement. Skin biopsy revealed fibrinoid necrosis and leukocytoclasia consistent with small vessel vasculitis. Due to the temporal association, AstraZeneca/Oxford COVID-19 vaccine-related IgA vasculitis would be the most likely explanation.

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阿斯利康/牛津 COVID-19 病例报告:IgA 血管炎。
免疫球蛋白 A(IgA)血管炎又称白癜风,是一种影响小血管的免疫介导的血管炎。引发 IgA 血管炎的原因有很多,包括感染性和非感染性疾病。迄今为止,与 Covid-19 疫苗相关的血管炎病例报道很少。我们报告了一例阿斯利康/牛津 COVID-19 疫苗后的 IgA 血管炎病例。一名 29 岁的健康男性在第二次接种阿斯利康/牛津 COVID-19 疫苗一周后出现紫癜性皮肤损害,并并发肾小球肾炎和胃肠道受累。皮肤活检发现纤维素性坏死和白细胞减少与小血管炎一致。由于时间上的关联,阿斯利康/牛津 COVID-19 疫苗相关的 IgA 血管炎是最有可能的解释。
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