Evidence map›Paper›PMID 41221172›Full record

ArticleClinical and experimental vaccine research2025

Autoimmune manifestations recorded after SARS-CoV-2 vaccination.

Mourad Elghali, Mariem Mhiri, Imene Chaabane, Wafa Marrakchi, Rania Kaddoussi, Yassmin Maatouk, Ahlem Bellalah, Maha Changuel, Mahbouba Jguirim, Mahbouba Frih-Ayed and 1 more

Abstract read
In one paragraph

Article in Clinical and experimental vaccine research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Mourad ElghaliLaboratory of Immunology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0001-6900-1712
Mariem MhiriDepartment of Neurology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0003-3422-1760
Imene ChaabaneDepartment of Internal Medicine, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0003-1818-0014
Wafa MarrakchiDepartment of Infectious Diseases, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0002-0634-9188
Rania KaddoussiDepartment of Pneumology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0003-0287-1689
Yassmin MaatoukLaboratory of Immunology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0001-8085-9277
Ahlem BellalahLaboratory of Anatomical Pathology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0002-9557-209X
Maha ChanguelLaboratory of Immunology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0003-1411-7683
Mahbouba JguirimDepartment of Rheumatology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0003-4028-619X
Mahbouba Frih-AyedDepartment of Neurology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0002-2984-0535
Nabil SaklyLaboratory of Immunology, University Hospital FB Monastir, University of Monastir, Monastir, Tunisia.ORCID https://orcid.org/0000-0002-1366-1102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To present, to the best of our knowledge, the largest African case series of autoimmune manifestations (AIM) after coronavirus disease 2019 (COVID-19) vaccination. Materials and Methods: Cases were collected consecutively from March 2021 to December 2022 from the various departments of the university teaching hospital of Monastir. Autoimmunity biomarkers were investigated mainly in the laboratory of immunology of the same hospital. Anti-nuclear antibody (ANA) screening was performed by indirect immunofluorescence on Results: This case series reports 14 patients (age range, 34-69 years; sex ratio, 1:1) who developed AIM after COVID-19 vaccination with the Pfizer BioNTech, Oxford-AstraZeneca, Johnson & Johnson's Janssen, or Sputnik V vaccines between March 2021 and December 2022. The clinical onset occurred 1 week to 2 months after the last administrated dose. Immunological evaluation revealed positive ANA in 13 cases (titer 1/180 to 1/3,200). Autoantibodies typing revealed anti-mitochondria type 2 in 4 cases, anti-SSA in 3 cases, and anti-DFS70 in 2 cases. Nine patients received specific treatments for diagnosed autoimmune diseases (AID), whereas the others showed non-specific immune stimulation, reactive arthritis, myositis, and cerebral venous thrombosis, which improved with symptomatic treatment. Conclusion: This series suggests a link between severe acute respiratory syndrome coronavirus 2 vaccination and triggered or revealed AID or AIM.

Indexed as

AutoimmunityCOVID-19InfectionSARS-CoV-2Vaccines

Identifiers

PMID41221172
PMCPMC12599453

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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.