Evidence map›Paper›PMID 36155279›Full record

ArticleJournal of autoimmunity2022

Acute-type acquired hemophilia A after COVID-19 mRNA vaccine administration: A new disease entity?

Hiroki Hosoi, Misato Tane, Hideki Kosako, Masaki Ibe, Masahiro Takeyama, Shogo Murata, Toshiki Mushino, Takashi Sonoki

Abstract read
In one paragraph

Article 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. TAFRO Syndrome and COVID-19.Biomedicines · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Autoimmune Diseases Affecting Hemostasis: A Narrative Review.International journal of molecular sciences · 2022
    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

8 authors.

Hiroki HosoiDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan. Electronic address: h-hosoi@wakayama-med.ac.jp.
Misato TaneDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.
Hideki KosakoDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.
Masaki IbeDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.
Masahiro TakeyamaDepartment of Pediatrics, Nara Medical University, Nara, Japan.
Shogo MurataDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.
Toshiki MushinoDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.
Takashi SonokiDepartment of Hematology/Oncology, Wakayama Medical University, Wakayama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acquired hemophilia A (AHA) is a rare autoimmune bleeding disorder. Various autoimmune diseases, including AHA, have been reported to occur after the administration of mRNA COVID-19 vaccines. However, the characteristics of these AHA cases remain unclear. We report a case in which AHA arose in a young patient after the administration of an mRNA COVID-19 vaccine, but improved rapidly. The patient's factor VIII (FVIII) inhibitor titer spontaneously decreased to less than half of that seen at diagnosis. One week after the initial immunosuppressive therapy, the FVIII inhibitor had disappeared. Our case suggests that AHA that arises in young patients after COVID-19 vaccination may resolve spontaneously, and the levels of FVIII inhibitors may decrease more rapidly in such cases than in idiopathic AHA. Unlike for immune thrombocytopenic purpura (ITP), no acute type of AHA has been recognized. This case suggests that just as there is an acute type of ITP that develops in children/after vaccination, there may be an acute type of AHA that arises in young patients that receive mRNA COVID-19 vaccines.

Indexed as

COVID-19COVID-19 VaccinesChildHumansRNA, MessengerCOVID-19 VaccinesRNA, MessengerAcquired hemophilia ACOVID-19Vaccination

Identifiers

PMID36155279
PMCPMC9485432

What OpenQuestion holds

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Registered trials

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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.