Characteristics of emerging new autoimmune diseases after COVID-19 vaccination: A sub-study by the COVAD group

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Characteristics of emerging new autoimmune diseases after COVID-19 vaccination : A sub-study by the COVAD group

Shumnalieva, Russka (författare): Department of Rheumatology, Clinic of Rheumatology, University Hospital "St. Ivan Rilski", Medical University-Sofia, Sofia, Bulgaria

Ravichandran, Naveen (författare): Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Hannah, Jennifer (författare): Department of Rheumatology, King's College Hospital NHS Foundation Trust, London, UK

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Javaid, Mahnoor (författare): Medical College, Aga Khan University, Karachi, Pakistan

Darooka, Naitica (författare): Seth Gordhandhas Sunderdas Medical College and King Edwards Memorial Hospital, Mumbai, Maharashtra, India

Roy, Debaditya (författare): Department of Clinical Immunology and Rheumatology, Institute of Post Graduate Medical Education and Research (PGIMER), Kolkata, West Bengal, India

Gonzalez, Daniel E. (författare): Department of Internal Medicine, University of Texas, Galveston, Texas, USA

Velikova, Tsvetelina (författare): Department of Clinical Immunology, Medical Faculty, University Hospital "Lozenetz", Sofia University St. Kliment Ohridski, Sofia, Bulgaria

Milchert, Marcin (författare): Department of Internal Diseases Rheumatology Diabetology Geriatrics and Clinical Immunology with the Sub-Department of Gastroenterology, Pomeranian Medical University in Szczecin, Szczecin, Poland

Kuwana, Masataka (författare): Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan

Joshi, Mrudula (författare): Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India

Gracia-Ramos, Abraham Edgar (författare): Department of Internal Medicine, General Hospital, National Medical Center "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico

Boyd, Peter (författare): Chair of the EULAR PARE Committee and Services Support Officer with Arthritis Ireland, Dublin, Ireland

Yaadav, Praggya (författare): Maharashtra Institute of Medical Sciences and Research, Latur, Maharashtra, India

Cheng, Karen (författare): EU Patient Advocacy Lead, Myositis Support and Understanding (MSU), Lincoln, Delaware, USA

Kobert, Linda (författare): Research and Communications Specialist, The Myositis Association (TMA), Columbia, Maryland, USA

Cavagna, Lorenzo (författare): Rheumatology Unit, Dipartimento di Medicine Interna e Terapia Medica, Università degli Studi di Pavia, Pavia, Italy

Sen, Parikshit (författare): Maulana Azad Medical College, Delhi, India

Day, Jessica (författare): Department of Rheumatology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia; Department of Medical Biology, University of Melbourne, Parkville, Victoria, Australia

Makol, Ashima (författare): Division of Rheumatology, Mayo Clinic, Rochester, Minnesota, USA

Gutiérrez, Carlos Enrique Toro (författare): Reference Center for Osteoporosis, Rheumatology and Dermatology, Pontifica Universidad Javeriana Cali, Cali, Colombia

Caballero-Uribe, Carlo V. (författare): Department of Medicine, Hospital Universidad del Norte, Barranquilla, Atlantico, Colombia

Saha, Sreoshy (författare): Mymensingh Medical College, Mymensingh, Bangladesh

Parodis, Ioannis, 1981- (författare): Örebro universitet,Institutionen för medicinska vetenskaper,Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; Department of Rheumatology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden

Dey, Dzifa (författare): Department of Medicine and Therapeutics, College of Health Sciences, University of Ghana School of Medicine and Dentistry, Accra, Ghana

Nikiphorou, Elena (författare): Centre for Rheumatic Diseases, King's College London, London, UK; Rheumatology Department, King's College Hospital, London, UK

Distler, Oliver (författare): Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland

Kadam, Esha (författare): Seth Gordhandhas Sunderdas Medical College and King Edwards Memorial Hospital, Mumbai, Maharashtra, India

Tan, Ai Lyn (författare): NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK

Shinjo, Samuel Katsuyuki (författare): Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil

Ziade, Nelly (författare): Rheumatology Department, Saint-Joseph University, Beirut, Lebanon; Rheumatology Department, Hotel-Dieu de France Hospital, Beirut, Lebanon

Knitza, Johannes (författare): Medizinische Klinik 3 - Rheumatologie und Immunologie, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany; Institute for Digital Medicine, University Hospital Marburg, Philipps-University Marburg, Marburg, Germany

Chinoy, Hector (författare): Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK; National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, The University of Manchester, Manchester, UK; Department of Rheumatology, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, UK

Aggarwal, Rohit (författare): Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

Agarwal, Vikas (författare): Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Gupta, Latika (författare): Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK; Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK

COVAD Study Group, - (bidragsgivare)

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Department of Rheumatology, Clinic of Rheumatology, University Hospital "St Ivan Rilski", Medical University-Sofia, Sofia, Bulgaria Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India (creator_code:org_t)

John Wiley & Sons, 2024
2024
Engelska.
Ingår i: International journal of rheumatic diseases. - : John Wiley & Sons. - 1756-1841 .- 1756-185X. ; 27:5

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

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BACKGROUND: Despite the overall safety and efficacy of COVID-19 vaccinations, rare cases of systemic autoimmune diseases (SAIDs) have been reported post-vaccination. This study used a global survey to analyze SAIDs in susceptible individuals' post-vaccination.METHODS: A cross-sectional study was conducted among participants with self-reported new-onset SAIDs using the COVID-19 Vaccination in Autoimmune Diseases (COVAD) 2 study dataset-a validated, patient-reported e-survey-to analyze the long-term safety of COVID-19 vaccines. Baseline characteristics of patients with new-onset SAIDs and vaccinated healthy controls (HCs) were compared after propensity score matching based on age and sex in a 1:4 ratio.RESULTS: Of 16 750 individuals, 74 (median age 52 years, 79.9% females, and 76.7% Caucasians) had new-onset SAID post-vaccination, mainly idiopathic inflammatory myopathies (IIMs) (n = 23, 31.51%), arthritis (n = 15; 20.53%), and polymyalgia rheumatica (PMR) (n = 12, 16.40%). Higher odds of new-onset SAIDs were noted among Caucasians (OR = 5.3; 95% CI = 2.9-9.7; p < .001) and Moderna vaccine recipients (OR = 2.7; 95% CI = 1.3-5.3; p = .004). New-onset SAIDs were associated with AID multimorbidity (OR = 1.4; 95% CI = 1.1-1.7; p < .001), mental health disorders (OR = 1.6; 95% CI = 1.3-1.9; p < .001), and mixed race (OR = 2.2; 95% CI = 1.2-4.2; p = .010), where those aged >60 years (OR = 0.6; 95% CI = 0.4-0.8; p = .007) and from high/medium human development index (HDI) countries (compared to very high HDI) reported fewer events than HCs.CONCLUSION: This study reports a low occurrence of new-onset SAIDs following COVID-19 vaccination, primarily IIMs, PMR, and inflammatory arthritis. Identified risk factors included pre-existing AID multimorbidity, mental health diseases, and mixed race. Revaccination was well tolerated by most patients; therefore, we recommend continuing COVID-19 vaccination in the general population. However, long-term studies are needed to understand the autoimmune phenomena arising post-vaccination.

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Characteristics of emerging new autoimmune diseases after COVID-19 vaccination : A sub-study by the COVAD group

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