Evidence map›Paper›PMID 38797899›Full record

ArticleReviews on recent clinical trials2024

Development of Autoimmune Hepatitis after COVID-19 Infection in Vaccinated Women.

Ilaria Lenci, Martina Milana, Luca Savino, Alessandro Signorello, Leonardo Baiocchi

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Reviews on recent clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ilaria LenciHepatology Unit, Department of Clinical Medicine, Policlinico Universitario Tor Vergata, Rome, Italy.ORCID 0000-0001-5704-9890
Martina MilanaHepatology Unit, Department of Clinical Medicine, Policlinico Universitario Tor Vergata, Rome, Italy.ORCID 0000-0003-2027-0481
Luca SavinoPathological Anatomy, Department for Assistential Process Integration, Policlinico Universitario Tor Vergata, Rome, Italy.ORCID 0000-0001-9068-2225
Alessandro SignorelloHepatology Unit, Department of Clinical Medicine, Policlinico Universitario Tor Vergata, Rome, Italy.ORCID 0000-0002-3831-7244
Leonardo BaiocchiHepatology Unit, Department of Clinical Medicine, Policlinico Universitario Tor Vergata, Rome, Italy.ORCID 0000-0003-3672-4505

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSARS-CoV-2 infection has been associated with the impairment of several organs, including the liver. In addition, cases of autoimmune hepatitis have been described in association with COVID-19 disease. According to some case reports, vaccination has also been suggested to elicit the immune liver disorder. CASE DESCRIPTION: We report on the case series of two middle-aged women developing COVID-19 infection despite a completed vaccination schedule. More interestingly, the infection was followed by the onset of acute hepatitis with a significant increase in the values of liver function tests (x 10 normal values). After ruling out the main causes of liver damage (viral, toxic, etc.), a diagnosis of autoimmune hepatitis was made and supported by liver histology in both cases. The clinical picture was quickly reverted with immunosuppressive (steroid) therapy, also confirming the diagnosis.

conclusionWe observed a possible relationship between COVID-19 infection and the onset of autoimmune hepatitis and also described this occurrence in vaccinated subjects. It remains to be clarified whether repeated exposure to viral antigens (vaccination plus true infection) or specific emerging viral genotype (omicron strain) may facilitate the onset of this immune liver disease.

Indexed as

COVID-19COVID-19 VaccinesHepatitis, AutoimmuneFemaleHumansLiver Function TestsMiddle AgedVaccinationCOVID-19 VaccinesAutoimmune hepatitisCOVID-19liver biopsyliver enzymes.treatmentvaccination

Identifiers

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.