Minimal Change Disease Following the Pfizer-BioNTech COVID-19 Vaccine.
Am J Kidney Dis
; 78(1): 142-145, 2021 07.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1174714
ABSTRACT
We report on the development of minimal change disease (MCD) with nephrotic syndrome and acute kidney injury (AKI), shortly after first injection of the BNT162b2 COVID-19 vaccine (Pfizer-BioNTech). A 50-year-old previously healthy man was admitted to our hospital following the appearance of peripheral edema. Ten days earlier, he had received the first injection of the vaccine. Four days after injection, he developed lower leg edema, which rapidly progressed to anasarca. On admission, serum creatinine was 2.31 mg/dL and 24-hour urinary protein excretion was 6.9 grams. As kidney function continued to decline over the next days, empirical treatment was initiated with prednisone 80 mg/d. A kidney biopsy was performed and the findings were consistent with MCD. Ten days later, kidney function began to improve, gradually returning to normal. The clinical triad of MCD, nephrotic syndrome, and AKI has been previously described under a variety of circumstances, but not following the Pfizer-BioNTech COVID-19 vaccine. The association between the vaccination and MCD is at this time temporal and by exclusion, and by no means firmly established. We await further reports of similar cases to evaluate the true incidence of this possible vaccine side effect.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Prednisona
/
Lesión Renal Aguda
/
Vacunas contra la COVID-19
/
COVID-19
/
Nefrosis Lipoidea
/
Síndrome Nefrótico
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
/
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
Tópicos:
Vacunas
Límite:
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Am J Kidney Dis
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
J.ajkd.2021.03.010
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