Evidence map›Paper›PMID 36560483›Full record

ReviewVaccines2022

Vaccine-Related Autoimmune Hepatitis: Emerging Association with SARS-CoV-2 Vaccination or Coincidence?

Ioannis P Trontzas, Konstantinos G Kyriakoulis, Ioannis A Vathiotis, Alexandros Syrigos, Georgios Kounadis, Sofia Siasiakou, Garyphalia Poulakou

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 13 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

7 authors at 1 institution in 2 countries.

Ioannis P Trontzas3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0003-3706-9995
Konstantinos G Kyriakoulis3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0001-8986-2704
Ioannis A Vathiotis3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-1772-5986
Alexandros Syrigos3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Georgios Kounadis3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Sofia Siasiakou3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Garyphalia Poulakou3rd Department of Internal Medicine, 'SOTIRIA' General Hospital of Chest Diseases, National and Kapodistrian University of Athens, 11527 Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing number of liver injury cases resembling autoimmune hepatitis (AIH) following SARS-CoV-2 vaccination; however, an association has not yet been established. METHODS/MATERIALS: A literature review was performed to identify articles regarding the association of AIH with vaccination, emphasizing on SARS-CoV-2 vaccines, and the proposed mechanisms. We then performed a literature search for AIH-like cases following SARS-CoV-2 vaccination, and we evaluated the included cases for AIH diagnosis using simplified diagnostic criteria (SDC), and for vaccination causality using the Naranjo score for adverse drug reactions.

resultsWe identified 51 AIH-like cases following SARS-CoV-2 vaccination. Forty cases (80%) were characterized as "probable", "at least probable", or "definite" for AIH diagnosis according to SDC. Forty cases (78.4%) were characterized as "probable", four (7.8%) as "possible", and three (5.8%) as "definite" for vaccine-related AIH according to the Naranjo score.

conclusionSARS-CoV-2 vaccine-related AIH carries several phenotypes and, although most cases resolve, immunosuppressive therapy seems to be necessary. Early diagnosis is mandatory and should be considered in any patient with acute or chronic hepatitis after SARS-CoV-2 vaccination, especially in those with pre-existing liver disease.

Indexed as

AIHautoimmune hepatitisautoimmune liver injuryCOVID-19hepatitisimmune-mediated liver injuryreviewSARS-CoV-2vaccinationvaccine

Identifiers

PMID36560483
PMCPMC9783100
OpenAlexW4311521007

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.