[Corona vaccination under immunosuppression].

IF 0.9 4区 医学 Q4 RHEUMATOLOGY Zeitschrift fur Rheumatologie Pub Date : 2024-09-01 Epub Date: 2024-09-23 DOI:10.1007/s00393-024-01555-2
R Hasseli-Fräbel, C Kneitz, R E Voll, B F Hoyer
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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to play a major role as a severe and potentially fatal airway infection, especially in vulnerable patient groups. In view of the thin data situation on the influence of treatment and response to vaccination, at the beginning of the corona pandemic it was a major challenge to predict the tolerability and effectiveness in patients with inflammatory rheumatic diseases under immunomodulation or immunosuppression. In the meantime, numerous studies have addressed the questions of response and tolerability, at least for the COVID-19 vaccination. Even in the first months of the vaccination campaign, a small study on a single center cohort could show that apart from patients with B‑cell depletion, all included patients showed a seroconversion after the first two vaccinations. This resulted in neither an increased occurrence of exacerbations of the underlying disease nor new autoimmune phenomena. Various studies have since then confirmed these data.

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[免疫抑制下的电晕疫苗接种]。
严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)作为一种严重的、可能致命的气道传染病继续发挥着重要作用,尤其是在易感患者群体中。鉴于有关治疗和疫苗接种反应影响的数据稀少,在冠状病毒大流行之初,如何预测免疫调节或免疫抑制下的炎症性风湿病患者对疫苗的耐受性和有效性是一项重大挑战。与此同时,许多研究已经解决了反应和耐受性问题,至少是 COVID-19 疫苗的反应和耐受性问题。即使在疫苗接种活动的头几个月,一项针对单个中心队列的小型研究也表明,除了 B 细胞耗竭的患者外,所有接种者在头两次接种后都出现了血清转换。这既没有导致基础疾病加重,也没有出现新的自身免疫现象。此后的多项研究证实了这些数据。
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来源期刊
Zeitschrift fur Rheumatologie
Zeitschrift fur Rheumatologie 医学-风湿病学
CiteScore
2.20
自引率
20.00%
发文量
150
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.
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