免疫系统在COVID-19疫苗诱导的甲状腺炎中的作用及其可能机制:病例报告和文献复习

Vahid Reisi-Vanani , Mahour Farzan , Mahan Farzan , Hosein Ataei-Goujani , Maryam Keihani , Golshan Taghipour-Boroujeni
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引用次数: 6

摘要

亚急性甲状腺炎(SAT)是一种炎症性疾病,有不同的触发因素。最近的研究表明,COVID-19疫苗诱导的甲状腺炎可能在其启动中起作用。病例介绍:一名42岁男性,无任何特殊疾病,因震颤、触诊、出汗和颈部甲状腺压痛而入院。实验室标记物和放射学评估显示他是甲状腺炎,他的症状在给予非甾体抗炎药和皮质类固醇后得到缓解。关于covid -19后免疫SAT的病因有几种假设;其中,人类蛋白质组与病毒组分的相互作用和佐剂诱导的自身免疫/炎症综合征(ASIA)等免疫反应比其他讨论的可能性更有可能。我们建议进一步研究以发现确切的SAT病理生理学,以预防未来候选疫苗的潜在原因。
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Role of the immune system and possible mechanisms in COVID-19 vaccine-induced thyroiditis: Case report and literature review

Introduction

Subacute thyroiditis (SAT) is an inflammatory disease that has different trigger factors. Recent studies show the possible role of COVID-19 vaccine-induced thyroiditis in its initiation. Herein we report the first case of post-Sputnik V vaccination SAT.

Case presentation

A 42-year-old man without any specific disease was admitted due to tremors, palpation and sweating, and neck tenderness on the thyroid gland. Laboratory markers and radiologic assessments highlighted thyroiditis for him, and his symptoms were relieved by administering NSAIDs and corticosteroids.

Discussion

There are several hypotheses for the etiology of post-COVID-19 immunization SAT; among them, immunologic reactions like the interactivity of human proteome with viral components and autoimmune/inflammatory syndrome induced by adjuvants (ASIA) are more probable than other discussed possibilities. We suggest further studies to discover the exact SAT pathophysiology to prevent the underlying causes among future vaccine candidates.

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来源期刊
Journal of Clinical and Translational Endocrinology: Case Reports
Journal of Clinical and Translational Endocrinology: Case Reports Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
1.10
自引率
0.00%
发文量
32
审稿时长
27 weeks
期刊介绍: The journal publishes case reports in a variety of disciplines in endocrinology, including diabetes, metabolic bone disease and osteoporosis, thyroid disease, pituitary and lipid disorders. Journal of Clinical & Translational Endocrinology Case Reports is an open access publication.
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