A Rare Case of Henoch-Schönlein Purpura Following a COVID-19 Vaccine-Case Report.

Anti-SARS-CoV-2 vaccine COVID-19 Henoch-Schönlein purpura Post-vaccinal vasculitis Rheumatoid purpura Vaccine secondary effects

Journal

SN comprehensive clinical medicine
ISSN: 2523-8973
Titre abrégé: SN Compr Clin Med
Pays: Switzerland
ID NLM: 101740833

Informations de publication

Date de publication:
2021
Historique:
accepted: 09 07 2021
pubmed: 15 9 2021
medline: 15 9 2021
entrez: 14 9 2021
Statut: ppublish

Résumé

In the COVID-19 pandemic era, anti-SARS-CoV-2 vaccination is considered to be the most efficient way to overtake the COVID-19 scourge. Like all medicines, vaccines are not devoid of risks and can in rare cases cause some various side effects. The objective of this case report is to highlight this unusual presentation of Henoch-Schönlein purpura following an anti-COVID-19 vaccination in a 62-year-old adult. The 62-year-old patient admitted to the emergency room for a petechial purpuric rash, sloping, occurring within hours, involving both legs and ascending. The clinical signs also included polyarthralgia and hematuria. Reported in the history the notion of an anti-COVID-19 vaccination 8 days prior to the onset of symptomatology. In the case of our patient, we retain the diagnosis of rheumatoid purpura based on the EULAR/PRINTO/PReS diagnostic criteria. Corticosteroid therapy (prednisone) was started, resulting to a rapid regression of clinical and laboratory symptoms, few days after the treatment. Patient was asymptomatic on subsequent visits. The low number of published cases of post-vaccine vasculitis does not question the safety of vaccines, but knowledge of such complications deserves to be known in order to avoid new immunizations that could have more serious consequences, and to avoid aggravating or reactivating a pre-existing vasculitis.

Identifiants

pubmed: 34518812
doi: 10.1007/s42399-021-01025-9
pii: 1025
pmc: PMC8425851
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2618-2621

Informations de copyright

© The Author(s) 2021.

Déclaration de conflit d'intérêts

Conflict of InterestThe authors declare no competing interests.

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Auteurs

Abdelhamid Naitlho (A)

Department of Internal Medicine, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Wahib Lahlou (W)

Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Abderrahim Bourial (A)

Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Hamza Rais (H)

Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Nabil Ismaili (N)

Department of Oncology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Imad Abousahfa (I)

Department of Emergency, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Lahcen Belyamani (L)

Department of Emergency, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.

Classifications MeSH