Hypophysitis after COVID-19 vaccination in a patient with Rathke's cleft cyst: A case report.

IF 4.1 4区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-01-04 DOI:10.1080/21645515.2023.2297455
Yuanyuan Yu, Guangxin Zhou, Junjie Du, Huijuan Zhu, Haojun Guan, Yongmin Bi, Da Zhang
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Abstract

With the widespread vaccination of COVID-19 vaccine, a few cases have been reported that COVID-19 vaccine may cause endocrine disorders. A 59-y-old man presented with a loss of appetite after the first COVID-19 vaccination, which resolved spontaneously after 3 d. After the second COVID-19 vaccination, the symptoms including the loss of appetite, nausea, and vomiting reappeared and worsened along with loss of vision. He was found to have severe hyponatremia, and further investigations revealed secondary adrenal insufficiency, secondary hypothyroidism and Rathke's cleft cyst. The patient responded well to glucocorticoid and levothyroxine supplementation, and at 1-y follow-up the patient developed hypogonadism. We hypothesize that hypophysitis is probably induced by COVID-19 vaccine and report the rare but serious adverse reactions for early recognition and intervention.

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一名患有 Rathke 裂囊的患者在接种 COVID-19 疫苗后出现肾下垂:病例报告。
随着 COVID-19 疫苗的广泛接种,有少数病例报告称 COVID-19 疫苗可能导致内分泌失调。一名 59 岁的男性在第一次接种 COVID-19 疫苗后出现食欲不振,3 天后症状自行缓解。第二次接种 COVID-19 疫苗后,食欲不振、恶心和呕吐等症状再次出现,并伴随视力下降而恶化。他被发现患有严重的低钠血症,进一步检查发现继发性肾上腺功能不全、继发性甲状腺功能减退症和拉斯克裂囊肿。患者对糖皮质激素和左旋甲状腺素补充剂反应良好,随访1年后出现性腺功能减退。我们推测性腺功能减退症可能是由 COVID-19 疫苗诱发的,并报告了这一罕见但严重的不良反应,以便及早识别和干预。
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来源期刊
Human Vaccines & Immunotherapeutics
Human Vaccines & Immunotherapeutics BIOTECHNOLOGY & APPLIED MICROBIOLOGY-IMMUNOLOGY
CiteScore
7.90
自引率
8.30%
发文量
489
审稿时长
3-6 weeks
期刊介绍: (formerly Human Vaccines; issn 1554-8619) Vaccine research and development is extending its reach beyond the prevention of bacterial or viral diseases. There are experimental vaccines for immunotherapeutic purposes and for applications outside of infectious diseases, in diverse fields such as cancer, autoimmunity, allergy, Alzheimer’s and addiction. Many of these vaccines and immunotherapeutics should become available in the next two decades, with consequent benefit for human health. Continued advancement in this field will benefit from a forum that can (A) help to promote interest by keeping investigators updated, and (B) enable an exchange of ideas regarding the latest progress in the many topics pertaining to vaccines and immunotherapeutics. Human Vaccines & Immunotherapeutics provides such a forum. It is published monthly in a format that is accessible to a wide international audience in the academic, industrial and public sectors.
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