Evidence map›Paper›PMID 35632472›Full record

ArticleVaccines2022

New Onset of Eosinophilic Granulomatosis with Polyangiitis Following mRNA-Based COVID-19 Vaccine.

Emanuele Nappi, Maria De Santis, Giovanni Paoletti, Corrado Pelaia, Fabrizia Terenghi, Daniela Pini, Michele Ciccarelli, Carlo Francesco Selmi, Francesca Puggioni, Giorgio Walter Canonica and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. 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

11 authors at 3 institutions in 1 country.

Emanuele NappiDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Maria De SantisDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0002-3196-1336
Giovanni PaolettiDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0003-3953-9225
Corrado PelaiaDepartment of Health Sciences, University "Magna Græcia" of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-4236-7367
Fabrizia TerenghiIRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Daniela PiniIRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Michele CiccarelliIRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Carlo Francesco SelmiDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0002-0323-0376
Francesca PuggioniIRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Giorgio Walter CanonicaDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.
Enrico HefflerDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.ORCID 0000-0002-0492-5663
Humanitas University · ITIRCCS Humanitas Research Hospital · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-SARS-CoV-2 vaccines are safe and effective, also in individuals with allergic and immune-mediated diseases (IMDs). There are reports suggesting that vaccines may be able to trigger de-novo or exacerbate pre-existing IMDs in predisposed individuals. Eosinophilic granulomatosis with polyangiitis (EGPA) is a small-vessel vasculitis characterized by asthma, eosinophilia, and eosinophil-rich granulomatous inflammation in various tissues. We describe the case of a 63-year-old man who experienced cardiac, pulmonary, and neurological involvement one day after the administration of the booster dose of anti-SARS-CoV-2 vaccine (mRNA-1273). A diagnosis of EGPA was made and the patient was treated with high-dose steroids and cyclophosphamide, with a good clinical response. Interestingly, our patient had experienced a significant worsening of his pre-existing asthma six months earlier, just after the first two vaccine shots with the ChAdOx1 anti-SARS-CoV-2 vaccine. It is impossible to know whether our patient would have had developed EGPA following natural SARS-CoV-2 infection or at some point in his life regardless of infectious stimuli. Nevertheless, our report may suggest that caution should be paid during the administration of additional vaccine doses in individuals who experienced an increase in IMD severity that persisted over time following previous vaccine shots.

Indexed as

ANCA-associated vasculitisanti-SARS-CoV-2 vaccineEGPAmRNA vaccine

Identifiers

PMID35632472
PMCPMC9144767
OpenAlexW4225370606

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.