Evidence map›Paper›PMID 37631903›Full record

ArticleVaccines2023

Eosinophilic Granulomatosis with Polyangiitis after mRNA-1273 SARS-CoV-2 Vaccine.

Lucrezia Mencarelli, Laura Moi, Natacha Dewarrat, Matteo Monti, Lorenzo Alberio, Maxime Ringwald, Karolina Swierdzewska, Antiochos Panagiotis, Camillo Ribi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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.

Lucrezia MencarelliDivision of Internal Medicine, Department of Medicine, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
Laura MoiDivision of Immunology and Allergology, Institut Central des Hôpitaux du Valais, 1951 Sion, Switzerland.
Natacha DewarratDivision of Haematology and Central Laboratory of Hematology, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.ORCID 0000-0002-0237-1505
Matteo MontiDivision of Internal Medicine, Department of Medicine, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.ORCID 0000-0002-7902-0607
Lorenzo AlberioDivision of Haematology and Central Laboratory of Hematology, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.ORCID 0000-0001-9686-9920
Maxime RingwaldDivision of Immunology and Allergy, Department of Medicine, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
Karolina SwierdzewskaDivision of Diagnostic Radiology, Department of Radiology, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
Antiochos PanagiotisDivision of Cardiology, Department of Heart and Vessels, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
Camillo RibiDivision of Immunology and Allergy, Department of Medicine, Lausanne University Hospital, Lausanne University, 1011 Lausanne, Switzerland.
University of Lausanne · CHHôpital du Valais · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During one of the worst global health crises, millions of people were vaccinated against SARS-CoV-2. In rare cases, new onset systemic inflammatory diseases were reported with temporal coincidence to the vaccination. We describe a case of severe Eosinophilic Granulomatosis with Polyangiitis (EGPA) in a young asthmatic woman, occurring after a second dose of the mRNA-1273 vaccine. She presented with multisystem EGPA with cardiac and central nervous system involvement, complicated by secondary immune thrombocytopenia (ITP). We review the reported cases of EGPA coinciding with SARS-CoV-2 mRNA vaccination. All potentially vaccine-related EGPA cases reported so far occurred within 14 days from immunization. EGPA is very rare with an incidence of 1:1,000,000 inhabitants, and the number of reported post-vaccination EGPA cases lies within the expected incidence rate for the period. While we cannot prove a causal relationship between the vaccine and EGPA onset, the temporal relationship with the vaccine immune stimulation is intriguing, in a disease occurring almost always in adults with asthma and/or chronic rhinosinusitis and driven by an aberrant Th2 lymphocyte activation with hypereosinophilia; nevertheless, cases of inflammatory diseases (IMIDs) emerging in the context of vaccination remain rare and the benefits of preventing severe COVID presentations with SARS-CoV-2 mRNA vaccines remain unquestionable.

Indexed as

eosinophilic granulomatosis with polyangiitisimmune thrombocytopeniamRNA vaccineSARS-CoV-2

Identifiers

PMID37631903
PMCPMC10457893
OpenAlexW4385636914

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.