Table 2.
Authors | Age in years and sex | Clinical presentation | Vaccine type | Appearing of symptoms after vaccine exposure | Investigations result | Therapeutic intervention | Serology result |
---|---|---|---|---|---|---|---|
Nune et al. [8] | 24 male | Polyarthralgia Fever Fatigue Oral ulcer Lymphadenopathy | Pfizer-BioNTech SARS-CoV-2 vaccine | 14 days after 2nd dose | Lymphopenia High CRP | GC, MTX | Positive ANA and anti-dsDNA low complements (C3&4) levels |
Patil and Patil [9] | 22 female | Polyarthralgia Fever Skin rash Bipedal edema Lymphadenopathy Mild hepatomegaly | AstraZeneca COVID-19 vaccine | 10 days after the 2nd dose | Thrombocytopenia Anemia Positive Direct Coombs test High ESR Proteinuria (300 mg/24 h) | GC, HCQ, MMF | Positive ANA and anti-dsDNA |
Zavala-Miranda et al. [10] | 23 female | Nephrotic syndrome Hair loss | AstraZeneca COVID-19 vaccine | 7 days after the 1st dose | Lymphopenia Proteinuria (12.6 g/24 h) Renal biopsy showed class V lupus nephritis | GC, MMF, HCQ, Diuretics | Positive ANA and anti-dsDNA low complements (C3&4) levels |
Current case | 22 female | Skin rash Acute pancreatitis | Pfizer-BioNTech SARS-CoV-2 vaccine | 7 days after the 1st dose | Lymphopenia Anemia Thrombocytopenia Positive Direct Coombs test High amylase and lipase High ESR | GC, HCQ, AZA | Positive ANA and anti-dsDNA low complements (C3&4) levels |
CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; ANA, antinuclear antibodies; Anti-dsDNA, anti-double-stranded DNA antibody; GC, glucocorticoids; MTX, methotrexate; HCQ, hydroxychloroquine; MMF, mycophenolate mofetil; AZA, azathioprine