Evidence map›Paper›PMID 35041110›Full record

ReviewClinical rheumatology2022

New-onset Adult-onset Still's disease-like syndrome after ChAdOx1 nCoV-19 vaccination-a case series with review of literature.

Shivraj Padiyar, Navaneeth Kamath, John Mathew, A S Chandu, Divya Deodhar, B A Shastry, T Shashikala, Arvind Ganapati

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Shivraj PadiyarDepartment of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India.ORCID http://orcid.org/0000-0002-5369-7062
Navaneeth KamathDepartment of Medicine, Rheumatology Division, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.ORCID http://orcid.org/0000-0002-6805-0739
John MathewDepartment of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India.
A S ChanduDepartment of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India.
Divya DeodharDepartment of Infectious Diseases, Christian Medical College, Vellore, India.
B A ShastryDepartment of Medicine, Rheumatology Division, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
T ShashikalaDepartment of Medicine, Rheumatology Division, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Arvind GanapatiDepartment of Medicine, Rheumatology Division, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. arvind_hegde1985@yahoo.com.ORCID http://orcid.org/0000-0002-8751-2724
Christian Medical College, Vellore · INManipal Academy of Higher Education · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a series of 3 Adult-onset Still's disease (AOSD)-like presentations in previously healthy females following vaccination with the ChAdOx1 nCoV-19 vaccine, and also compare them with similar cases reported in literature through a PubMed database search. Our first patient had a high spiking bi-quotidian type of fever with myalgia, sore throat, and arthritis with onset 10-day post-vaccination, with laboratory features of hyper inflammation responding to only naproxen. She was off treatment after 2 months. The second patient, with onset 3-week post-vaccination, had a more severe illness, requiring high dose immunosuppression. In our third case, the onset of illness was slightly delayed i.e., 3-month post-vaccination, but she had the most severe disease with macrophage activation syndrome at presentation requiring immunosuppression and biologicals. The underlying mechanism may be linked to the activation of Toll-like receptors (TLR)-TLR-7 and TLR-9-leading to a robust immune response. These 3 cases highlight the immunogenicity of COVID-19 vaccines, with the possibility of occurrence of new-onset systemic hyper-inflammation illness which can happen a few days following the vaccination, sometimes even delayed to months, and can range in severity from mild to even life-threatening. More cases need to be studied to understand the profile and prognosis of these syndromes in the long run.

Indexed as

COVID-19Still's Disease, Adult-OnsetAdultChAdOx1 nCoV-19COVID-19 VaccinesFemaleHumansInflammationVaccinationChAdOx1 nCoV-19COVID-19 VaccinesAdult-onset Still’s diseaseCOVID-19 vaccineImmunology

Identifiers

PMID35041110
PMCPMC8764317
OpenAlexW4206067805

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.