Evidence map›Paper›PMID 36973766›Full record

ArticleJournal of medical case reports2023

Acquired hemophilia A following COVID-19 vaccine: a case report.

Bouselama Emna, Zahra Kmira, Ben Ismail Hajer, Sassi Nadia, Dhaha Yossra, Bouatay Amina, Ben Youssef Yosra, Regaieg Haifa, Khelif Abderrahim

Open access · goldFull text readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

9 authors at 2 institutions in 1 country.

Bouselama EmnaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Zahra KmiraDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia. Kmira_zahra@yahoo.fr.
Ben Ismail HajerDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Sassi NadiaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Dhaha YossraLaboratory of Hematology, Sahloul University Hospital, Sousse, Tunisia.
Bouatay AminaLaboratory of Hematology, Sahloul University Hospital, Sousse, Tunisia.
Ben Youssef YosraDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Regaieg HaifaDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Khelif AbderrahimDepartment of Clinical Hematology, Farhat Hached University Hospital, Sousse, Tunisia.
Hôpital Farhat Hached · TNHôpital Sahloul · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the literature, reported cases of Acquired hemophilia A (AHA) induced by COVID-19 vaccination occurred after Adenoviral Vector Deoxyribonucleic Acid (DNA)- and SARS-CoV-2 Messenger Ribonucleic acid (mRNA)-Based vaccines. Here, and to the best of our knowledge, we report the first case of AHA occurring after an inactivated Sinovac-coronavac COVID-19 vaccine. CASE PRESENTATION: A 69-year-old Tunisian male patient consulted for severe left leg pain limiting physical mobility due to a 5*6 cm large ecchymosis located at the left inner thigh, having spontaneously appeared 5 days prior consultation and without notion of trauma. The patient had no known personal medical history. He had received the second dose of CoronaVac-SinoVac vaccine 30 days prior to consultation. Further physical examination revealed the presence of two other ecchymoses: one at the inner face of the right forearm, starting at the wrist reaching the elbow and the other at the left flank of the abdomen. Diagnosis of AHA was based on clinical presentation and confirmed with prolonged a PTT, Factor VIII deficiency and the presence of an FVIII inhibitor. The patient was successfully treated with corticosteroids and low dose Rituximab.

conclusionClinicians should consider AHA in front of prolonged aPTT with or without spontaneous bleedings even after inactivated virus COVID-19.

Indexed as

COVID-19Hemophilia AAgedCOVID-19 VaccinesHumansMaleSARS-CoV-2Vaccines, InactivatedCOVID-19 Vaccinessinovac COVID-19 vaccineVaccines, InactivatedAcquired Hemophilia ACOVID-19Vaccines

Identifiers

PMID36973766
PMCPMC10041501
OpenAlexW4361005912

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.