新冠肺炎,冠状病毒疫苗,以及与Lipschütz Vulvar溃疡的可能关联:系统综述。

IF 8.4 2区 医学 Q1 ALLERGY Clinical Reviews in Allergy & Immunology Pub Date : 2023-10-01 Epub Date: 2023-06-26 DOI:10.1007/s12016-023-08961-5
Stefano A Vismara, Andrea Ridolfi, Pietro B Faré, Mario G Bianchetti, Sebastiano A G Lava, Samuele Renzi, Benedetta Terziroli Beretta Piccoli, Gregorio P Milani, Lisa Kottanattu
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引用次数: 0

摘要

Lipschütz生殖器溃疡是一种自我限制的非性获得性疾病,其特征是突然发作一些溃疡。原发性EB病毒感染目前被认为是最公认的病因。最近的报告记录了与2019冠状病毒病(新冠肺炎)或严重急性呼吸综合征冠状病毒2(SARS-CoV-2)免疫接种暂时相关的病例。我们对文献进行了回顾,以调查新冠肺炎或针对SARS-CoV-2的免疫接种与生殖器溃疡之间的可能关联。预注册研究(CRD42023376260)按照系统评价和荟萃分析方法的首选报告项目进行。《医学文摘》、《国家医学图书馆》和《科学网》被搜索到。纳入标准包括与新冠肺炎或接种SARS-CoV-2疫苗暂时相关的急性Lipschütz溃疡发作。保留了18条。他们提供了33名15(14-24)岁(中位数和四分位间距)患者的信息,这些患者共经历了39次与新冠肺炎暂时相关的Lipschütz溃疡发作(N = 18) 或针对严重急性呼吸系统综合征冠状病毒2型(N = 21)。39次发作中有30次排除了可能同时存在急性爱泼斯坦-巴尔病毒感染。与新冠肺炎暂时相关的发作和与针对SARS-CoV-2的免疫相关的发作的临床表现和疾病持续时间相似。总之,新冠肺炎和针对SARS-CoV-2的免疫接种增加了Epstein-Barr病毒,成为Lipschütz生殖器溃疡的可能触发因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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COVID-19, Coronavirus Vaccines, and Possible Association with Lipschütz Vulvar Ulcer: A Systematic Review.

Lipschütz genital ulcer is a self-limited, non-sexually acquired disorder characterized by the sudden onset of a few ulcers. A primary Epstein-Barr virus infection is currently considered the most recognized cause. Recent reports document cases temporally related with coronavirus disease 2019 (COVID-19) or immunization against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We carried out a review of the literature to investigate the possible association between COVID-19 or the immunization against SARS-CoV-2 and genital ulcer. The pre-registered study (CRD42023376260) was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology. Excerpta Medica, the National Library of Medicine, and Web of Sciences were searched. Inclusion criteria encompassed instances of acute Lipschütz ulcer episodes that were temporally linked to either COVID-19 or a vaccination against SARS-CoV-2. Eighteen articles were retained. They provided information on 33 patients 15 (14-24) years of age (median and interquartile range), who experienced a total of 39 episodes of Lipschütz ulcer temporally associated with COVID-19 (N = 18) or an immunization against SARS-CoV-2 (N = 21). The possible concomitant existence of an acute Epstein-Barr virus infection was excluded in 30 of the 39 episodes. The clinical presentation and the disease duration were similar in episodes temporally associated with COVID-19 and in those associated with an immunization against SARS-CoV-2. In conclusion, COVID-19 and immunization against SARS-CoV-2 add to Epstein-Barr virus as plausible triggers of Lipschütz genital ulcer.

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来源期刊
CiteScore
22.30
自引率
1.10%
发文量
58
审稿时长
6-12 weeks
期刊介绍: Clinical Reviews in Allergy & Immunology is a scholarly journal that focuses on the advancement of clinical management in allergic and immunologic diseases. The journal publishes both scholarly reviews and experimental papers that address the current state of managing these diseases, placing new data into perspective. Each issue of the journal is dedicated to a specific theme of critical importance to allergists and immunologists, aiming to provide a comprehensive understanding of the subject matter for a wide readership. The journal is particularly helpful in explaining how novel data impacts clinical management, along with advancements such as standardized protocols for allergy skin testing and challenge procedures, as well as improved understanding of cell biology. Ultimately, the journal aims to contribute to the improvement of care and management for patients with immune-mediated diseases.
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