一例在接种 COVID-19 mRNA 后不久开始反复发作的特发性过敏性休克病例。

IF 2.5 4区 医学 Q3 ALLERGY Allergologia et immunopathologia Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.15586/aei.v52i6.1191
Pelin Korkmaz, Semra Demir, Deniz Eyice Karabacak, Derya Unal, Asli Gelincik
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引用次数: 0

摘要

简介:一名患者在接种辉瑞生物科技公司(Pfizer BioNTech)mRNA疫苗后出现特发性反复过敏性休克,使用奥马珠单抗后发作得到控制。据我们所知,这是第一例关于使用辉瑞生物科技公司 mRNA 疫苗后复发性特发性过敏性休克(IA)的报道:一名 52 岁的男子在接种 COVID-19 疫苗后反复出现特发性过敏性休克(IA),于是来到我们的成人过敏与免疫门诊就诊。该患者的荨麻疹和过敏性休克发作经大剂量抗组胺药和全身类固醇治疗后无法控制,经奥马珠单抗治疗后病情得到完全控制,过敏性休克发作完全缓解:结论:如果成年患者出现不明原因或反复发作的过敏性休克,应质疑 COVID-19 疫苗的接种和接种时机,并考虑其与过敏性休克的关联。
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A case with recurrent idiopathic anaphylaxis episodes starting soon after COVID-19 mRNA vaccination.

Introduction: A patient was presented with a history of idiopathic recurrent anaphylaxis after administration of Pfizer BioNTech mRNA vaccine, and the attacks were controlled with omalizumab. To our knowledge, this is the first reported case of recurrent idiopathic anaphylaxis (IA) after administration of Pfizer BioNTech mRNA vaccine.

Case presentation: A 52-year-old man with recurrent episodes of IA after COVID-19 vaccination presented to our adult Allergy and Immunology Clinic. In the patient, urticaria and anaphylaxis episodes could not be controlled with high-dose antihistamine and systemic steroid treatment, and complete control was achieved with omalizumab treatment and anaphylaxis attacks completely regressed.

Conclusion: In cases of unexplained or recurrent anaphylaxis in adult patients, COVID-19 vaccination and timing should be questioned, and its association with anaphylaxis might be considered.

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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
131
审稿时长
6-12 weeks
期刊介绍: Founded in 1972 by Professor A. Oehling, Allergologia et Immunopathologia is a forum for those working in the field of pediatric asthma, allergy and immunology. Manuscripts related to clinical, epidemiological and experimental allergy and immunopathology related to childhood will be considered for publication. Allergologia et Immunopathologia is the official journal of the Spanish Society of Pediatric Allergy and Clinical Immunology (SEICAP) and also of the Latin American Society of Immunodeficiencies (LASID). It has and independent international Editorial Committee which submits received papers for peer-reviewing by international experts. The journal accepts original and review articles from all over the world, together with consensus statements from the aforementioned societies. Occasionally, the opinion of an expert on a burning topic is published in the "Point of View" section. Letters to the Editor on previously published papers are welcomed. Allergologia et Immunopathologia publishes 6 issues per year and is included in the major databases such as Pubmed, Scopus, Web of Knowledge, etc.
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