Journal of Cosmetic Dermatology,
Journal Year:
2023,
Volume and Issue:
22(3), P. 732 - 733
Published: Jan. 27, 2023
We
read
with
interest
the
article
published
by
Shafie'ei
et
al.1
regarding
a
systematic
review
and
meta-analysis
of
all
reported
cutaneous
side
effects
COVID-19
vaccines.
Our
experience
reactions
is
largely
consistent
prior
reports
mild,
self-limiting
reactions.2-4
note
describing
vasculitis
following
vaccination.5
In
contrast
to
mild
vaccination,
we
report
case
severe
prolonged
IgA
single
dose
Janssen
vaccine—Ad.26.COV2.S.
A
60-year-old
Caucasian
woman
self-presented
emergency
department
due
an
extensive
painful
rash
affecting
her
bilateral
lower
limbs.
She
described
petechial
limbs
8
h
post
vaccine
11
days
prior.
Within
10
days,
she
had
developed
palpable
purpura
circumferentially
at
both
from
knee
distally
as
well
thighs
abdomen
was
referred
dermatology
physicians
(Figure
1A).
This
on
background
psoriasis,
psoriatic
arthritis
hypertension.
Her
longstanding
medications
included
naproxen,
amlodipine,
fexofenadine,
denied
any
symptoms
infection.
apyrexial,
systems
examination
were
unremarkable.
Blood
tests
taken
revealed
mildly
elevated
c-reactive
protein
14
mg/L
(normal:
<7
mg/L)
erythrocyte
sedimentation
rate
26
mm
within
first
hour
<13
mm)
normal
white
blood
cell
count
6.41
×
109/L
3.5–10.5
109/L).
chest
x-ray
midstream
urine
showed
no
evidence
At
this
time,
super-potent
topical
steroids
prescribed.
punch
biopsy
right
limb
demonstrated
findings
leukocytoclastic
2).
Direct
immunofluorescence
deposits
vasculature.
On
follow-up
review,
tense
bullae
seen
ankles.
Treatment
prescribed
time
consisted
tapering
oral
steroids,
antibiotics
for
secondary
infection
wound
care.
The
ruptured
leave
multiple
punched-out
exquisitely
ulcers
1B).
It
noted
that
urinary
creatinine
(UPCR)
ratio
uptrending
rose
value
in
excess
100
mg/mmol
(normal
0–15
mg/mmol).
Complete
resolution
aforementioned
ulceration
5
months
steroid
treatment
1C).
Imaging,
colonoscopy,
mammography
negative
malignancy.
represents
small
vessel
brought
about
activation
neutrophils
deposition
perivascular
sites.6
postvaccination
resolving
4
weeks
after
onset.5
our
case,
complete
corticosteroids,
which
longest
case.
Additionally,
patient
renal
involvement
preserved
function.
regular
naproxen
amlodipine
commenced
years
presentation
so
deemed
unlikely
be
causative.
Malignancy
out-ruled.
While
may
have
been
coincidental,
relationship
between
immune
complex
vaccination
has
reported5
most
likely
pathophysiological
explanation
patient's
feel
worth
highlighting
it
demonstrates
reaction
vaccination.
All
authors
contributed
editing
execution
piece.
None.
conflict
interest.
provided
written
consent
clinical
images
used
publication.
Dermatologic Therapy,
Journal Year:
2022,
Volume and Issue:
35(5)
Published: Feb. 23, 2022
Numerous
vaccines
are
under
clinical
development
and
implementation
for
the
prevention
of
severe
course
lethal
outcomes
coronavirus
disease
2019
(COVID-19).
This
systematic
review
aims
to
summarize
integrated
findings
studies
regarding
cutaneous
side
effects
COVID-19
vaccines.
conducted
by
searching
scientific
databases
PubMed,
Scopus,
Science
direct,
Web
knowledge
from
beginning
May
10,
2021.
Articles
were
reviewed
analyzed
based
on
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
checklist.
Seventeen
included
after
screening
search
results
eligibility
criteria.
The
showed
that
most
common
injection
site
reactions
delayed
large
local
reactions,
arising
all
vaccine
types,
redness/erythema
(39%),
followed
by:
itchiness
(28%),
urticarial
rash
(17%)
neck,
upper
limbs,
trunk,
morbilliform
eruptions
(6.5%),
Pityriasis
rosea
(3%),
swelling,
burning,
so
forth.
Most
occurred
in
women
(84%),
middle-aged
people,
first
dose
vaccine,
with
onset
ranged
1
21
days
vaccination.
In
addition,
generally
self-limiting,
needed
little
or
no
therapeutic
intervention,
not
regarded
as
a
barrier
injecting
second
dose.
conclusion,
very
rare
approved
have
satisfactory
safety
profiles.
Therefore,
mild
moderate
should
discourage
people
certain
groups
such
patients
allergies
history
pre-vaccination
counseling
assurance,
also
use
appropriate
medications
may
be
helpful.
However,
more
investigate
effect
profile
Biology of Sex Differences,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: June 18, 2024
Abstract
Introduction
Active
and
passive
surveillance
studies
have
found
that
a
greater
proportion
of
females
report
adverse
events
(AE)
following
receipt
either
the
COVID-19
or
seasonal
influenza
vaccine
compared
to
males.
In
predominately
young
adult
female
population
healthcare
workers,
we
sought
determine
intersection
biological
sex
sociocultural
gender
differences
in
prospective
active
reporting
outcomes,
which
remains
poorly
characterized.
Methods
This
cohort
study
enrolled
Johns
Hopkins
Health
System
workers
(HCWs)
who
were
recruited
from
mandatory
annual
fall
2019–2022
2022
bivalent
campaigns.
Vaccine
recipients
day
vaccination
AE
surveys
administered
two
days
post-vaccination
for
recipients.
Data
collected
regarding
presence
series
solicited
local
systemic
AEs.
Open-ended
answers
about
participants’
experiences
with
AEs
also
Results
Females
more
likely
after
(OR
=
2.28,
p
0.001)
2.57,
0.008)
males,
regardless
age
race.
Males
had
comparable
probabilities
1.18,
0.552)
0.96,
0.907)
vaccination.
Hormonal
birth
control
use
did
not
impact
rates
reported
among
reproductive-aged
HCWs.
Women
interruptions
their
daily
routine
than
men
seek
out
self-treatment.
More
women
scheduled
before
off
anticipation
Conclusions
Our
findings
highlight
need
sex-
gender-inclusive
policies
inform
effective
occupational
health
strategies.
Further
research
is
needed
evaluate
potential
disruption
on
responsibilities
mandated
population,
fully
characterize
behavioral
between
women.
JDDG Journal der Deutschen Dermatologischen Gesellschaft,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 26, 2025
Summary
Vaccination
is
a
fundamental
principle
of
preventive
health
care.
Administration
the
vaccine,
which
contains
antigen(s)
pathogen,
activates
immune
system
and
provides
protection
against
infection.
The
immunogenicity
allergenicity
vaccine
may
lead
to
various
adverse
reactions,
depending
on
responsiveness
susceptibility
vaccinated
individual.
Cutaneous
events
are
among
most
common
can
manifest
as
local
or
generalized
vaccination
reactions.
Understanding
their
pathogenesis
clinical
manifestations
essential
for
therapy,
further
diagnostic
clarification
if
necessary,
managing
any
booster
that
be
required.
Appropriate
dermatological
expertise
therefore
plays
crucial
role
in
patients
with
history
JDDG Journal der Deutschen Dermatologischen Gesellschaft,
Journal Year:
2025,
Volume and Issue:
23(2), P. 195 - 210
Published: Feb. 1, 2025
Zusammenfassung
Impfungen
sind
ein
grundlegendes
Prinzip
der
Gesundheitsvorsorge.
Durch
Applikation
des
Impfstoffs,
Antigen(e)
eines
Erregers
enthält,
kommt
es
zur
Aktivierung
Immunsystems
mit
Aufbau
Infektionsschutzes.
Je
nach
Immunogenität
und
Allergenität
Impfstoffs
kann
in
Abhängigkeit
von
Reaktivität
Suszeptibilität
geimpften
Individuums
zu
unterschiedlichen
unerwünschten
Reaktionen
kommen.
Kutane
Nebenwirkungen
gehören
hierbei
den
häufigsten
können
sich
verschiedenen
lokalen
oder
generalisierten
Impfreaktionen
äußern.
Das
Wissen
um
deren
Pathogenese
klinische
Erscheinungsformen
ist
essentiell
Hinblick
auf
Therapie,
gegebenenfalls
weitere
diagnostische
Abklärung
dem
Vorgehen
bei
einer
eventuell
erforderlichen
Auffrischungsimpfung.
Entsprechendes
dermatologisches
Fachwissen
spielt
daher
eine
entscheidende
Rolle
im
Management
Patienten
anamnestischen
Impfreaktionen.
Cureus,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 8, 2025
We
conducted
a
nationwide
survey
in
Japan
to
clarify
the
clinical
spectrum
of
these
events.
An
initial
questionnaire
was
sent
126
dermatology
facilities,
and
responses
were
obtained
from
66
(52.4%).
Among
responding
most
commonly
identified
cutaneous
adverse
events
after
COVID-19
vaccination
urticaria
(49
(74.2%)),
delayed
local
reactions
(37
(56.1%)),
erythema
multiforme
(31
(47.0%)),
alopecia
(30
(45.5%)).
The
primary
(19
(20.9%)),
bullous
pemphigoid
(7
(7.7%)),
(6
(6.6%)).
mean
latency
onset
13.1
days,
duration
symptoms
74.2
days.
Although
this
study
cannot
establish
direct
causal
relationship
between
events,
it
highlights
need
for
dermatologists
recognize
potential
provide
appropriate
care.
Journal of Global Health,
Journal Year:
2023,
Volume and Issue:
13
Published: Feb. 9, 2023
Understanding
the
incidence
pattern
of
cutaneous
reactions
is
crucial
for
promoting
COVID-19
vaccination.
We
aimed
to
report
global
of,
and
factors
associated
with
common
related
vaccination
in
real-world
settings.We
searched
five
databases
(PubMed,
Web
Science,
Embase,
CNKI,
Wanfang)
from
inception
May
13,
2022,
studies
reporting
vaccines
settings.
The
outcomes
were
systematic
skin
(rash
urticaria)
local
injection
site
(pain,
swelling,
redness,
erythema).
conducted
random-effects
meta-analyses
explored
using
multi-step
statistical
analyses.We
included
35
assessed
2
549
968
participants
23
countries.
pooled
overall
systemic
was
3.8%
(95%
confidence
interval
(CI)
=
2.4%-5.5%)
short
duration
(about
one
week).
Specifically,
rates
rash
urticaria
3.0%
CI
2.1%-3.9%)
1.1%
0.7%-1.5%),
respectively.
For
reactions,
72.4%
65.7%-78.7%)
(1
4.5
days).
Except
pain
(72.2%,
95%
65.3%-78.5%),
other
localized
had
low
incidence,
including
swelling
(13.3%,
9.5%-17.7%),
redness
(11.5%,
5.7%-19.0%),
erythema
(5.8%,
0.7%-15.4%).
Geographically,
different
distribution
patterns
observed
these
reactions.
Regarding
factors,
mRNA
showed
lower
(P
<
0.001).
Asia
population
higher
among
inactivated
found
no
significant
difference
between
first
second
dose
vaccines.We
examined
(except
pain);
discrepancies
across
vaccine
types.
side
effects
do
not
seem
cause
concern.PROSPERO:
CRD42021258012.
European journal of medical research,
Journal Year:
2024,
Volume and Issue:
29(1)
Published: July 5, 2024
Abstract
Background
To
date,
multiple
cases
of
adverse
reactions
to
COVID-19
vaccines
have
been
reported
worldwide.
Alopecia
areata
(AA)
is
an
uncommon
type
reaction
in
some
articles
and
has
a
significant
social
psychological
impact
on
patients.
Our
study
aimed
review
the
AA
vaccine
literature.
Methods
This
systematic
was
conducted
by
searching
for
following
international
databases
such
as
Embase,
MEDLINE,
PubMed,
Web
Knowledge,
Ovid
from
December
2019
30,
2023.
We
included
studies
that
provided
data
patients
vaccination
with
at
least
one
dose.
Data
sex,
age,
country/region
origin,
type,
days
between
symptom
presentation,
manifestations
AA,
trichoscopy
histopathological
findings,
treatment,
outcomes
were
included.
Results
In
total,
579
explored
identified
assessed,
25
total
51
review.
Twenty-seven
(52.9%)
developed
new-onset
receiving
vaccine,
recurrence
or
exacerbation
occurred
after
24
(47.1%)
preexisting
disease.
Five
cause
all
cases.
The
Pfizer
(45.1%)
most
frequently
reported,
followed
ChAdOx1
nCoV-19
(27.5%),
Moderna
mRNA-1273
(19.6%),
Sinopharm
(3.9%)
SinoVac
(3.9%).
within
month
1st
dose,
then,
incidence
decreased
gradually
time.
Topical
systemic
corticosteroids
used
38
Eleven
treated
Janus
Kinase
inhibitor
(jakinib)
inhibitor,
eight
tofacitinib,
three
unspecified
jakinib.
However,
3
11
experienced
exacerbations
treatment.
Conclusion
rare,
physicians
should
be
aware
this
phenomenon
improve
early
diagnosis
appropriate
Life,
Journal Year:
2023,
Volume and Issue:
13(4), P. 1037 - 1037
Published: April 18, 2023
Background:
The
COVID-19
pandemic
period
revolutionized
daily
clinical
practice.
Several
strategies
were
adopted
by
clinicians
to
avoid
reducing
treatment
for
diseases
without
the
risk
of
spreading
infection.
Among
strategies,
telemedicine
played
a
key
role.
In
this
scenario,
several
tools
used,
including
e-mails,
phone
calls,
video
support
groups,
and
messages.
Fortunately,
seems
be
at
an
end.
However,
use
teledermatology
appears
excellent
strategy
future
as
well.
Indeed,
patients
may
benefit
from
teledermatology.
Objective:
manuscript,
we
aim
investigate
in
dermatological
field
point
out
how
tool
become
mainstay
medicine.
Only
with
common
inflammatory
skin
conditions
have
been
reported
herein.
Materials
Methods:
Investigated
manuscripts
included
metanalyses,
reviews,
letters
editor,
real-life
studies,
case
series,
reports.
Manuscripts
identified,
screened,
extracted
relevant
data
following
PRISMA
(preferred
reporting
items
systematic
reviews
meta-analyses)
guidelines.
Results:
A
total
121
records
identified
analyzed
databases.
only
110
articles
assessed
eligibility.
Finally,
92
selected
end
literature
research
our
review.
Conclusions:
Teledermatology
should
considered
viable
option
dermatologist
future.
We
believe
that
has
strengthened
service,
will
allow
ever
better
development
Guidelines
regarding
are
required
well
additional
improvements
JDDG Journal der Deutschen Dermatologischen Gesellschaft,
Journal Year:
2023,
Volume and Issue:
21(3), P. 255 - 262
Published: March 1, 2023
Summary
Background
and
objectives
Cutaneous
reactions
following
COVID‐19
vaccination
have
been
frequently
described,
whereas
larger
case
series
by
dermatologists
are
lacking.
This
study
assesses
SARS‐CoV‐2
vaccination‐associated
skin
reactions,
severity,
treatment,
course,
eliciting
vaccines,
allergy
test
results
tolerance
to
revaccination.
Patients
methods
Single‐institutional,
non‐interventional
of
assessing
cutaneous
manifestations
in
83
patients
Germany.
Results
93
were
presented.
Manifestations
clustered
into
immediate
(n
=
51,
54.8%)
delayed
hypersensitivity
10,
10.8%),
chronic
inflammatory
diseases
13,
14.0%),
reactivation
latent
herpes
virus
infection
(pityriasis
rosea/herpes
zoster;
n
9;
9.7%)
others
10.8%).
Vaccination
was
associated
with
new
(76.3%)
–
mostly
or
exacerbation
known
(23.7%),
this
predominantly
diseases.
Reactions
occurred
primarily
within
the
first
week
(72.8%)
after
(62.0%).
Treatment
required
83.9%
hospitalization
19.4%.
In
48.8%
revaccination
led
recurrence
same
reactions.
Disease
ongoing
at
last
consultation
22.6%,
Allergy
tests
performed
15
(18.1%)
resulted
negative.
Conclusions
It
can
be
assumed
that
may
trigger
immune
activation‐related
especially
those
predisposed
develop
respective