Evidence map›Paper›PMID 35275366›Full record

ReviewCEN case reports2022

Development of IgA vasculitis with severe glomerulonephritis after COVID-19 vaccination: a case report and literature review.

Kohei Sugita, Shuzo Kaneko, Rina Hisada, Makiko Harano, Emi Anno, Sou Hagiwara, Eri Imai, Michio Nagata, Yusuke Tsukamoto

Open access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in CEN case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
4.6field-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, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  17. Renal Complications Following COVID-19 Vaccination: A Narrative Literature Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Review
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

9 authors at 1 institution in 1 country.

Kohei SugitaDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Shuzo KanekoDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan. suzkane10@gmail.com.ORCID 0000-0002-8613-6499
Rina HisadaDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Makiko HaranoDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Emi AnnoDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Sou HagiwaraDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Eri ImaiDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Michio NagataDepartment of Pathology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Yusuke TsukamotoDepartment of Nephrology, Itabashi-Chuo Medical Center, Itabashi, Tokyo, Japan.
Mie Chuo Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the worldwide spread of the COVID-19 vaccine program during the COVID-19 pandemic, the numbers of reported cases with new-onset or relapsed kidney disease/vasculitis such as minimal change nephrotic syndrome, immunoglobulinA (IgA) nephropathy, and IgA vasculitis (IgAV) that developed after COVID-19 vaccination are increasing. We present the case of a 67-year-old Japanese woman who developed IgAV with purpura on her extremities and trunk in the evening of the day that she received the second dose of the Pfizer-BioNTech COVID-19 vaccine. She subsequently presented with acute kidney injury and nephrotic syndrome, and a kidney biopsy performed 14 days after the second vaccination showed diffuse mesangial and endocapillary glomerulonephritis with necrotizing crescent formation, accompanied by IgA deposition. One steroid pulse plus four administrations of a monthly intravenous cyclophosphamide injection were applied, followed by oral azathioprine during oral steroid tapering. Her response to this treatment was unsatisfactory and intractable for some time. Eventually, her renal function improved and nephrotic syndrome was resolved, while microscopic hematuria and proteinuria at ~ 1 g/gCr remained at 6 months post-vaccination. Unlike the previous milder renal-involved IgAV cases following COVID-19 vaccination, our patient's case presented severe glomerulonephritis and took a long time to recover despite intensive initial immunosuppressive treatment.

Indexed as

BNT162 VaccineCOVID-19Glomerulonephritis, IGAIgA VasculitisNephrotic SyndromeAgedFemaleHumansImmunoglobulin AVaccinationBNT162 VaccineImmunoglobulin ACOVID-19 vaccinationGlomerulonephritisIgAVIgA vasculitis

Identifiers

PMID35275366
PMCPMC8914443
OpenAlexW4220861046

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.