Table. Summary of Patient Demographics, Clinical Characteristics, and Histologic Findings of Cases From the Present Study and the Literature.
Patient sex/age, y | Clinical history | Reaction | Time from dose 1 to onset, d | Location of lesions | Vaccine adverse effects | Diagnosis | TCR | CD4:CD8 | CD30 | Therapy | Outcome | Follow-up time, mo | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dose 1 | Dose 2 | ||||||||||||
Female/50s | Psoriasis, transverse myelitis | Multiple papules | Progressed | 14 | Trunk, extremities | None | PLEVA | – | 2:1 | + | DOX, TCS | NCR | 12 |
Male/late teens | None | None | Multiple papules, progressive | 23 | Trunk, extremities | None | PLEVA | + | 1:3 | – | DOX, NBUVB, TCS | NCR | 10 |
Female/70s | None | None | Single papule | 22 | Upper arm | Mild systemic symptoms | CLH | + | 2:1 | + | Surgical excision | CR | 13 |
Male/50s | None | None | Single papule | 28 | Upper arm | Fatigue | CLH | + | 3:1 | + | Resolved with biopsy | CR | 9 |
Male/50s | Multiple sclerosis | Multiple papules | Progressed | 4 | Trunk, extremities, palms | None | LyP type A | NA | NA | – | MTX | NCR; flare with COVID-19 | 7 |
Female/20s | None | None | Multiple papules, progressive | 42 | Trunk, extremities | None | LyP type A | NA | NA | + | MTX | NCR; flare with non-COVID-19 viral illness | 9 |
Male/70s (Brumfiel et al,3 2021) | PCALCL | Tumor | None | 2 | Axilla | None | CD30 LPD | + | NA | NA | None | NCR | NA |
Female/60s (Mintoff et al,4 2021) | None | None | Single papule | 7 | Upper arm | None | CLH | NA | NA | NA | NA | NA | NA |
Abbreviations: CD30 LPD, CD30-positive lymphoproliferative disorder; CLH, cutaneous lymphoid hyperplasia; CR, complete remission; DOX, oral doxycycline; LyP, lymphomatoid papulosis; MTX, oral methotrexate; NA, not available; NBUVB, narrowband UVB light; NCR, near complete remission; PCALCL, primary cutaneous anaplastic large cell lymphoma; PLEVA, pityriasis lichenoides et varioliformis acuta; TCR, T-cell receptor (γ/β) gene rearrangement assay; TCS, topical corticosteroids.