Evidence map›Paper›PMID 34332438›Full record

ArticleJournal of autoimmunity2021

Autoimmune hepatitis triggered by SARS-CoV-2 vaccination.

Élise Vuille-Lessard, Matteo Montani, Jaume Bosch, Nasser Semmo

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of autoimmunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 4 syntheses or guidelines pooled it, 113 citations in OpenAlex.

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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Élise Vuille-LessardHepatology, University Clinic for Visceral Surgery and Medicine, Inselspital, Department of Biomedical Research, University of Bern, Bern, Switzerland. Electronic address: elise.vuille-lessard@insel.ch.
Matteo MontaniInstitute of Pathology, University of Bern, Bern, Switzerland.
Jaume BoschDepartment of Biomedical Research, University of Bern, Bern, Switzerland.
Nasser SemmoHepatology, University Clinic for Visceral Surgery and Medicine, Inselspital, Department of Biomedical Research, University of Bern, Bern, Switzerland. Electronic address: nasser.semmo@insel.ch.
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of autoimmune diseases has been reported after SARS-CoV-2 infection. Vaccination against SARS-CoV-2 could also trigger auto-immunity, as it has been described with other vaccines. An aberrant immune response induced by molecular mimicry and bystander activation, especially in predisposed individuals, is a potential mechanism. We report the case of a 76-year-old woman with Hashimoto thyroiditis and prior COVID-19 infection who developed severe autoimmune hepatitis (with typical features including strongly positive anti-smooth muscle antibody and markedly elevated immunoglobulins G, as well as typical histological findings) following SARS-CoV-2 vaccination (mRNA-1273 SARS-CoV-2 vaccine, Moderna®). The link between SARS-CoV-2 vaccination and the development of autoimmune diseases needs to be further investigated. Although a causality relationship cannot be proven, caution may be warranted when vaccinating individuals with known autoimmune diseases.

Indexed as

2019-nCoV Vaccine mRNA-1273AgedAutoantibodiesAzathioprineCarcinoma, Transitional CellCausalityCOVID-19COVID-19 VaccinesDisease SusceptibilityFemaleHashimoto DiseaseHepatitis, AutoimmuneHepatitis, ChronicHumansImmunocompromised HostImmunosuppressive Agents2019-nCoV Vaccine mRNA-1273AutoantibodiesAzathioprineCOVID-19 VaccinesImmunosuppressive AgentsPrednisoloneAutoimmune hepatitisCOVID-19SARS-CoV-2Vaccination

Identifiers

PMID34332438
PMCPMC8316013
OpenAlexW3191927310

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.