Evidence map›Paper›PMID 34973526›Full record

ReviewJournal of autoimmunity2022

Leukocytoclastic vasculitis (cutaneous small-vessel vasculitis) after COVID-19 vaccination.

G Fiorillo, S Pancetti, A Cortese, F Toso, S Manara, A Costanzo, R G Borroni

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Journal of autoimmunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
11.5field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Erythema elevatum diutinum with lower limb neuropathy: A rare presentation.Journal of family medicine and primary care · 2023
    Article
  20. Article
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

7 authors at 2 institutions in 1 country.

G FiorilloDermatology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy; Humanitas University, Pieve Emanuele, MI, Italy. Electronic address: giovanni.fiorillo@humanitas.it.
S PancettiHumanitas University, Pieve Emanuele, MI, Italy; Pathology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy.
A CorteseDermatology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy; Humanitas University, Pieve Emanuele, MI, Italy.
F TosoDermatology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy; Humanitas University, Pieve Emanuele, MI, Italy.
S ManaraPathology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy.
A CostanzoDermatology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
R G BorroniDermatology Unit, Humanitas Research Hospital - IRCCS, Rozzano, MI, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Humanitas University · ITIRCCS Humanitas Research Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccinations may induce cutaneous adverse events, due to nonspecific inflammation or immuno-mediated reactions. Several types of vasculitis have been observed. We report on a 71-year-old woman who developed cutaneous small-vessel vasculitis after the second dose of Vaxzevria COVID-19 vaccination, showing leukocytoclastic vasculitis on histopathological examination of a skin biopsy. Cutaneous small-vessel vasculitis is a rare condition which can be idiopathic or secondary to underlying infections, connective tissue disorders, malignancy, and medications. The pathogenesis involves immune complex deposition in small blood vessels, leading to activation of the complement system and recruitment of leukocytes. Exacerbation of small-vessel vasculitis has been reported following the administration of various vaccines, particularly influenza vaccine. It is expected that SARS-CoV-2 vaccine results in the activation of B- and T-cells and antibody formation. We hypothesize that leukocytoclastic vasculitis caused by immune complex deposition within cutaneous small vessels could be a rare side effect of Vaxzevria COVID-19 vaccination.

Indexed as

AgedCOVID-19 VaccinesFemaleHumansNeutrophil InfiltrationPrednisoneVasculitis, Leukocytoclastic, CutaneousCOVID-19 VaccinesPrednisoneCOVID-19 vaccineCutaneous small-vessel vasculitisLeukocytoclastic vasculitisSARS-CoV-2 vaccineVaccines adverse reactionsVaxzevria vaccine

Identifiers

PMID34973526
PMCPMC8712260
OpenAlexW4200033547

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.