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Can immunization precipitate connective tissue disease?Report of five cases of systemic lupus erythematosus and review of the literature

Identifieur interne : 002690 ( Main/Exploration ); précédent : 002689; suivant : 002691

Can immunization precipitate connective tissue disease?Report of five cases of systemic lupus erythematosus and review of the literature

Auteurs : Steven A. Older [États-Unis] ; Daniel F. Battafarano [États-Unis] ; Raymond J. Enzenauer [États-Unis] ; Arthur M. Krieg [États-Unis]

Source :

RBID : ISTEX:E433D23EAAEE7DCD1967D344B230C644E31F9831

English descriptors

Abstract

Abstract: Objectives:To report a series of five patients who developed systemic lupus erythematosus (SLE) after immunization and review the literature on vaccine-associated connective tissue diseases and the theoretical mechanisms that could explain such an association.Methods:Uncontrolled retrospective analysis of cases identified sporadicallyover 7 years at three centers.Results:In our series of 5 patients, symptoms of SLE developed within 2 to 3weeks after secondary immunization. All patients met American College of Rheumatology (ACR) criteria for the diagnosis of SLE. In most patients, symptoms have been persistent.Conclusion:Although a coincidental association between vaccination and theonset of SLE cannot be excluded, the temporal relationship with the development of symptoms makes it immunologically plausible that vaccination triggered systemic autoimmunity in these rare cases. We propose that epidemiological studies be performed to examine this potential association in more detail to quantitate the risk and identify possible genetic risk factors.

Url:
DOI: 10.1016/S0049-0172(99)80024-9


Affiliations:


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<div type="abstract" xml:lang="en">Abstract: Objectives:To report a series of five patients who developed systemic lupus erythematosus (SLE) after immunization and review the literature on vaccine-associated connective tissue diseases and the theoretical mechanisms that could explain such an association.Methods:Uncontrolled retrospective analysis of cases identified sporadicallyover 7 years at three centers.Results:In our series of 5 patients, symptoms of SLE developed within 2 to 3weeks after secondary immunization. All patients met American College of Rheumatology (ACR) criteria for the diagnosis of SLE. In most patients, symptoms have been persistent.Conclusion:Although a coincidental association between vaccination and theonset of SLE cannot be excluded, the temporal relationship with the development of symptoms makes it immunologically plausible that vaccination triggered systemic autoimmunity in these rare cases. We propose that epidemiological studies be performed to examine this potential association in more detail to quantitate the risk and identify possible genetic risk factors.</div>
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