Ying Jie Chee, Huiling Liew, Wai Han Hoi, Yingshan Lee, Brenda Lim, Han Xin Chin, Ray Tian Rui Lai, Yunqing Koh, Michelle Tham, Cherng Jye Seow, Zhi Han Quek, Abel Weiliang Chen, Timothy Peng Lim Quek, Alvin Wai Kit Tan, Rinkoo Dalan
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引用次数: 23
Abstract
Context and objective: Thyroid autoimmunity has been reported to be associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the SARS-CoV-2 vaccination recently. We report a series of patients who presented with new onset or relapse of Graves' disease-related hyperthyroidism shortly after receiving the SARS-CoV-2 messenger RNA (mRNA) vaccine at a single tertiary institution in Singapore.
Methods and results: We describe 12 patients who developed hyperthyroidism within a relatively short interval (median onset, 17 [range, 5-63] days) after receiving the SARS-CoV-2 mRNA vaccine. The majority were females (11/12) with median age of 35.5 (range, 22-74) years. Six patients had new-onset hyperthyroidism, whereas the other 6 had relapse of previously well-controlled Graves' disease. TSH receptor antibody concentrations ranged from 2.4 to 32 IU/L. The majority of the patients were able to go for the second dose of the vaccine without any further exacerbations. Literature review revealed 21 other similar cases reported from across the world.
Conclusion: Our case series provides insight into the characteristics of individuals in whom Graves' disease was triggered by the SARS-CoV-2 vaccination. Clinicians need to be vigilant of precipitation or exacerbation of autoimmune thyroid disorders in predisposed individuals after exposure to the SARS-CoV-2 vaccination. Further epidemiological and mechanistic studies are required to elucidate the possible associations between the SARS-CoV-2 vaccines and the development of thyroid autoimmunity.
期刊介绍:
Cellular Polymers is concerned primarily with the science of foamed materials, the technology and state of the art for processing and fabricating, the engineering techniques and principles of the machines used to produce them economically, and their applications in varied and wide ranging uses where they are making an increasingly valuable contribution.
Potential problems for the industry are also covered, including fire performance of materials, CFC-replacement technology, recycling and environmental legislation. Reviews of technical and commercial advances in the manufacturing and application technologies are also included.
Cellular Polymers covers these and other related topics and also pays particular attention to the ways in which the science and technology of cellular polymers is being developed throughout the world.