Evidence map›Paper›PMID 35746569›Full record

ReviewVaccines2022

COVID-19 Vaccines and Autoimmune Hematologic Disorders.

María Eva Mingot-Castellano, Nora Butta, Mariana Canaro, María Del Carmen Gómez Del Castillo Solano, Blanca Sánchez-González, Reyes Jiménez-Bárcenas, Cristina Pascual-Izquierdo, Gonzalo Caballero-Navarro, Laura Entrena Ureña, Tomás José González-López and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
7.4field-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

31 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
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  12. Aplastic Anemia Following COVID-19 Vaccination: A Systematic Review of Case Reports and Case Series.International journal of hematology-oncology and stem cell research · 2024
    Review
  13. TAFRO Syndrome and COVID-19.Biomedicines · 2024
    Review
  14. Article
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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

11 authors at 10 institutions in 1 country.

María Eva Mingot-CastellanoHematology Department, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS/CSIC), 41013 Sevilla, Spain.
Nora ButtaHospital Universitario La Paz-IdiPAZ, 28046 Madrid, Spain.ORCID 0000-0003-4601-7150
Mariana CanaroHematology Department, Hospital Universitario Son Espases, 07210 Palma, Spain.
María Del Carmen Gómez Del Castillo SolanoHematology Department, Hospital General de la Coruña, 15006 A Coruña, Spain.
Blanca Sánchez-GonzálezHematology Department, Hospital del Mar, 08003 Barcelona, Spain.
Reyes Jiménez-BárcenasHematology Department, Hospital Serranía de Ronda, 29400 Ronsa, Spain.
Cristina Pascual-IzquierdoDepartment of Hematology, Gregorio Marañón General University Hospital (HGUGM) Madrid, Instituto de Investigación Gregorio Marañón, 28009 Madrid, Spain.ORCID 0000-0001-5442-4886
Gonzalo Caballero-NavarroHematology Department, Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain.
Laura Entrena UreñaHematology Department, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.
Tomás José González-LópezHematology Department, Hospital Universitario de Burgos, 09006 Burgos, Spain.
On Behalf Of The GeptiGrupo Español de PTI, 28040 Madrid, Spain.
Grupo ACS (Spain) · ESHospital Del Mar · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario de Burgos · ESHospital Universitario La Paz · ESHospital Universitario Miguel Servet · ESHospital Universitario Son Espases · ESHospital Universitario Virgen de las Nieves · ESInstituto de Biomedicina de Sevilla · ESUniversidade da Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Worldwide vaccination against SARS-CoV-2 has allowed the detection of hematologic autoimmune complications. Adverse events (AEs) of this nature had been previously observed in association with other vaccines. The underlying mechanisms are not totally understood, although mimicry between viral and self-antigens plays a relevant role. It is important to remark that, although the incidence of these AEs is extremely low, their evolution may lead to life-threatening scenarios if treatment is not readily initiated. Hematologic autoimmune AEs have been associated with both mRNA and adenoviral vector-based SARS-CoV-2 vaccines. The main reported entities are secondary immune thrombocytopenia, immune thrombotic thrombocytopenic purpura, autoimmune hemolytic anemia, Evans syndrome, and a newly described disorder, so-called vaccine-induced immune thrombotic thrombocytopenia (VITT). The hallmark of VITT is the presence of anti-platelet factor 4 autoantibodies able to trigger platelet activation. Patients with VITT present with thrombocytopenia and may develop thrombosis in unusual locations such as cerebral beds. The management of hematologic autoimmune AEs does not differ significantly from that of these disorders in a non-vaccine context, thus addressing autoantibody production and bleeding/thromboembolic risk. This means that clinicians must be aware of their distinctive signs in order to diagnose them and initiate treatment as soon as possible.

Indexed as

AIHA and Evans syndromeantiphospholipid syndromecatastrophic antiphospholipid syndromeCOVID-19ITPTTPvaccinesVITT

Identifiers

PMID35746569
PMCPMC9231220
OpenAlexW4283163559

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.