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letter . 2021 Sep 21:hcab239. doi: 10.1093/qjmed/hcab239
Abdominal pain and bilateral adrenal haemorrhage of COVID-19 vaccine-induced immune thrombotic thrombocytopenia
Chia-Yi Lin
1, Li-Yen Huang
2,3, Kuo-An Wu
4, Jenq-Shyong Chan
5,6, Kun-Lin Wu
5,6, Hann-Yen Shyu
7,#, Po-Jen Hsiao
5,6,8,✉,#
Chia-Yi Lin, MD
1Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
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Li-Yen Huang, PhD
2Division of Cardiology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
3Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
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Kuo-An Wu, MD
4Division of Pulmonary & Critical Care Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
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Jenq-Shyong Chan, MD
5Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
6Division of Nephrology, Department of Internal Medicine, Taoyuan, Armed Forces General Hospital, Taoyuan 325, Taiwan
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Kun-Lin Wu, MD
5Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
6Division of Nephrology, Department of Internal Medicine, Taoyuan, Armed Forces General Hospital, Taoyuan 325, Taiwan
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Hann-Yen Shyu, MD
7Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
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Po-Jen Hsiao, MD
5Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
6Division of Nephrology, Department of Internal Medicine, Taoyuan, Armed Forces General Hospital, Taoyuan 325, Taiwan
8Department of Life Sciences, National Central University, Taoyuan 325, Taiwan
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1Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
2Division of Cardiology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
3Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
4Division of Pulmonary & Critical Care Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
5Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan 325, Taiwan
6Division of Nephrology, Department of Internal Medicine, Taoyuan, Armed Forces General Hospital, Taoyuan 325, Taiwan
7Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
8Department of Life Sciences, National Central University, Taoyuan 325, Taiwan
#
Hann-Yen Shyu and Po-Jen Hsiao contributed equally to this work.
✉
Address correspondence to: Po-Jen Hsiao, MD, Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan No.168, Zhongxing Rd., Longtan Dist., Taoyuan City 325, Taiwan, Republic of China, Tel: 886-3-4799595, email: doc10510@aftygh.gov.tw or a2005a660820@yahoo.com.tw
Received 2021 Sep 6; Accepted 2021 Sep 6.
Keywords: COVID-19 vaccine, ChAdOx1 COVID-19 (AstraZeneca) vaccine, platelet factor 4 antibodies, abdominal pain, adrenal haemorrhage, vaccine-associated immune thrombosis and thrombocytopenia
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PMCID: PMC8500008 PMID: 34546343
See "Bilateral adrenal haemorrhage in the differential diagnosis of abdominal pain in Vaccine-Induced Thrombosis with Thrombocytopenia." with doi: 10.1093/qjmed/hcab237.