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    Case reports in dermatology. 2021 Sep 15. doi: 10.1159/000519147. pii: cde-0013-0450. pmc: PMC8525262
    Raynaud's Phenomenon after COVID-19 Vaccination: Causative Association, Temporal Connection, or Mere Bystander?
    Urban N1,  Weber B2,  Deinsberger J3,  Gschwandtner M4,  Bauer W5,  Handisurya A6
    Author information
    1Department of Dermatology, Medical University of Vienna, Vienna, Austria.
    2Department of Dermatology, Medical University of Vienna, Vienna, Austria.
    3Department of Dermatology, Medical University of Vienna, Vienna, Austria.
    4Division of Angiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
    5Department of Dermatology, Medical University of Vienna, Vienna, Austria.
    6Department of Dermatology, Medical University of Vienna, Vienna, Austria.
    Abstract

    Herein, we report a case of a new-onset Raynaud's phenomenon (RP), which occurred in an otherwise healthy 31-year-old Caucasian woman, who lacked any known risk factors and associations with possible causes for secondary RP. However, 2 weeks prior to the development of RP, the patient had received her first injection of the COVID-19 vaccine containing ChAdOx1-SARS-COV-2. The patient presented with well-demarcated, white-pale, cold areas involving the middle fingers of both hands and the ring finger of the right hand, which were triggered by exposure to cold environment and accompanied by a sensation of numbness. Infrared thermography revealed notable temperature differences of up to 10.9°C between affected and nonaffected fingers. Coagulation and immunological parameters, including cryoglobulins and pathological autoantibodies, were within the normal range and antibodies to the heparin/platelet factor 4 complex not detectable. It remains unclear if the development of RP in our patient is causally related to antecedent COVID-19 vaccination; however, the temporal connection to the vaccination, the complete absence of RP in her past medical history, and the lack of any risk factors and triggers raise the suspicion of a yet unknown association with the vaccine. Whether a clear association between the development of RP and COVID-19 vaccination exists or whether RP represents a bystander effect needs to be awaited in case observational reports on RP accumulate. Given the steadily rising numbers of people receiving COVID-19 vaccinations, physicians may remain alert to still unrecognized side effects.


    Copyright © 2021 by S. Karger AG, Basel.

    KEYWORDS: COVID-19 vaccination, COVID-19 vaccine, Raynaud's phenomenon, Raynaud's syndrome

    Publikations ID: 34720917
    Quelle: öffnen
     
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