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First description of immune complex vasculitis after COVID-19 vaccination with BNT162b2: a case report.
Mücke, Victoria Therese; Knop, Viola; Mücke, Marcus Maximilian; Ochsendorf, Falk; Zeuzem, Stefan.
  • Mücke VT; Department of Internal Medicine 1, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. victoria.muecke@kgu.de.
  • Knop V; Department of Internal Medicine 1, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
  • Mücke MM; Department of Internal Medicine 1, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
  • Ochsendorf F; Department of Dermatology, Venereology and Allergology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
  • Zeuzem S; Department of Internal Medicine 1, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
BMC Infect Dis ; 21(1): 958, 2021 Sep 16.
Article in English | MEDLINE | ID: covidwho-1496148
ABSTRACT

BACKGROUND:

Cases of immune complex vasculitis have been reported following COVID-19 infections; so far none in association with novel mRNA-based COVID-19 vaccination. This case report describes a cutaneous immune complex vasculitis after vaccination with BNT162b2. CASE PRESENTATION A 76-year old male with liver cirrhosis developed an immune complex vasculitis 12 days after the second injection of BNT162b2. On physical examination, the patient presented with pruritic purpuric macules on hands and feet, flexor and extensor parts of both legs and thighs and lower abdomen, and bloody diarrhoea. Laboratory testing showed elevated inflammatory markers. After short treatment with oral steroids all clinical manifestations and laboratory findings resolved.

CONCLUSIONS:

An increasing number of clinical manifestations have been attributed to COVID-19 infection and vaccination. This is the first written report of immune complex vasculitis after vaccination with BNT162b2. We present our case report and a discussion in the light of type three hypersensitivity reaction.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vasculitis / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Vaccines Limits: Aged / Humans / Male Language: English Journal: BMC Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: S12879-021-06655-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vasculitis / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Vaccines Limits: Aged / Humans / Male Language: English Journal: BMC Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: S12879-021-06655-x