著者
Minami Suzuki Yuta Sekiguchi Masato Sasaki Shunsuke Inaba Sakino Oyama Yuichi Inoue Masahiro Warabi Kenichi Ohashi Seiji Inoshita
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
vol.61, no.19, pp.2925-2929, 2022-10-01 (Released:2022-10-01)
参考文献数
32
被引用文献数
15

The extent of rare side effects of mRNA vaccines for coronavirus disease 2019 (COVID-19) remains unclear. Several cases of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) following COVID-19 vaccination have been reported. We herein report a 72-year-old man who presented with a fever after receiving the second dose of the Pfizer-BioNTech COVID-19 vaccine. He was diagnosed with acute kidney injury due to myeloperoxidase-ANCA-associated vasculitis and was treated with intermittent hemodialysis, high-dose prednisolone, and intravenous rituximab. His general symptoms and renal impairment subsequently improved. When systemic symptoms are prolonged or renal abnormalities appear after COVID-19 vaccination, the possibility of AAV should be considered.

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Antineutrophil Cytoplasmic Antibody-associated Vasculitis after #mRNA Vaccination with #Pfizer-BioNTech. https://t.co/RMj1Uupl3W
13.ワクチン後症候群の症例報告論文 ANCA関連血管炎(72歳、男性) 論文:東京都立墨東病院 https://t.co/KtUAhxYZAa 論文解説動画:鹿先生 https://t.co/a03DcExVbB
ワクチン接種前の血液検査では正常。ワクチン接種二週間後、大学病院受診。透析レベルの血液検査結果。好中球が、分解・破壊されてライソゾームに対する抗体によるものだとすると、血管炎の説明ができる。結果、血液透析10日間。 https://t.co/W1Kt8Gt3s2
論文 Antineutrophil Cytoplasmic Antibody-associated Vasculitis after COVID-19 Vaccination with Pfizer-BioNTech https://t.co/DkvMyud9p9
@blanc0981 ありました。 ワクチン後症候群症例報告論文 東北大 https://t.co/hnxaXxH9YL 長崎大 https://t.co/taADmN1RGk  東京都立墨東病院 https://t.co/fgGdnX3la0  大阪市立大 https://t.co/UaIZXiSYLm 順天堂大 https://t.co/sXO0Q5Kt6L 札幌医科大 https://t.co/9mwZP5O8TP  シカ先生解説より拾いました

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