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. 2022 Nov 9;62(2):299–305. doi: 10.2169/internalmedicine.0590-22

Table.

Previous and Present Cases of New-onset or Relapse of AOSD Following COVID-19 Vaccination.

Case no. Age (y)/sex Vaccine Days from vaccination to new-onset or relapse of AOSD With (+)
or
without (-) MAS
Treatment Response Reference
Type Dose
number
New-onset
1 36/M Vector 1st 1 - mPSL pulse, anakinra 100 mg/day Improved 13
2 45/F mRNA 2nd 5 - PSL 60 mg/day Improved 14
3 43/M mRNA 2nd 10 - mPSL pulse, PSL 60 mg/day Improved 15
4 56/F mRNA 2nd 7 - PSL 60 mg/day Improved 15
5 36/F mRNA 1st 10 - mPSL pulse, tocilizumab 8 mg/kg, iv Improved 16
6 22/M mRNA 1st 13 + mPSL pulse, IVIg 2 g/kg, PSL 100 mg/ Improved 17
day, anakinra 100 mg/day
7 53/M Vector 1st 56 - PSL 60 mg/day Improved 18
8 20/F Vector 1st 10 - Naproxen Improved 19
9 47/F Vector 1st 21 - PSL 0.5 mg/kg, MTX, tocilizumab 162 Improved 19
mg, sc
10 35/F Vector 1st 90 + mPSL pulse, IVIg 2 g/kg, tocilizumab 8 Improved 19
mg/kg, iv
11 59/F mRNA 1st 7 + PSL 50 mg/day, tocilizumab 8 mg/kg, iv, Improved Our case 1
mPSL pulse, cyclosporin
12 77/F mRNA 2nd 42 + mPSL pulse, PSL 60 mg/day, mPSL pulse, cyclosporin, tocilizumab 8 mg/kg, iv Improved Our case 2
13 35/M mRNA 1st 24 - PSL 40 mg/day Improved Our case 3
Relapse
14 34/F Vector 1st 7 - PSL 50 mg/day, mPSL pulse, etanercept Improved 20
50 mg, MTX 10 mg/week, PSL 75 mg/day,
tocilizumab 8 mg/kg, iv
15 20/F mRNA 1st 6 + mPSL pulse, IVIg, anakinra 300 mg/day, Improved 21
ciclosporin
16 37/F mRNA 2nd A few days - PSL 15 mg/day, tocilizumab 162 mg, sc Improved 22
17 49/F mRNA 1st 4 + Tocilizumab 400 mg, iv, mPSL pulse, Improved 23
MTX

iv: intravenous, IVIg: intravenous immunoglobulin, MAS: macrophage activation syndrome, mPSL: methylprednisolone, mRNA: messenger ribonucleic acid, MTX: methotrexate, PSL: prednisolone, sc: subcutaneous