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      It Can't Be a Coincidence: A Comparison of Cases of Autoimmune Hepatitis After Vaccination Against COVID-19

      case-report
      Author(s): , MD 1 , , , MD, MPH 1
      Publication date (Electronic):
      Journal: ACG Case Reports Journal
      Publisher: Wolters Kluwer
      Keywords: autoimmune hepatitis, COVID-19 vaccination, Adverse Response to vaccination

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          ABSTRACT

          While rare, there is now a documented cohort of patients presenting with autoimmune hepatitis secondary to vaccination against COVID-19. With this case report, we aim to compare the published cases in order to discern any unifying characteristics among those affected, and share the story of a seventy-two-year old patient presenting with autoimmune hepatitis less than two weeks after receiving his first dose of the Pfizer COVID-19 vaccine.

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          Most cited references18

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          Diagnosis and management of autoimmune hepatitis in adults and children: 2019 practice guidance and guidelines from the American Association for the study of liver diseases

          Cara L Mack, David F. Adams, David Assis … (2019)
          Article 0 comments Cited 291 times – based on 0 reviews     Review now
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            Organ-specific manifestations of COVID-19 infection

            Maria Gavriatopoulou, Eleni Korompoki, Despina Fotiou … (2020)
            Although COVID-19 presents primarily as a lower respiratory tract infection transmitted via air droplets, increasing data suggest multiorgan involvement in patients that are infected. This systemic involvement is postulated to be mainly related to the SARS-CoV-2 virus binding on angiotensin-converting enzyme 2 (ACE2) receptors located on several different human cells. Lung involvement is the most common serious manifestation of the disease, ranging from asymptomatic disease or mild pneumonia, to severe disease associated with hypoxia, critical disease associated with shock, respiratory failure and multiorgan failure or death. Among patients with COVID-19, underlying cardiovascular comorbidities including hypertension, diabetes and especially cardiovascular disease, has been associated with adverse outcomes, whereas the emergence of cardiovascular complications, including myocardial injury, heart failure and arrhythmias, has been associated with poor survival. Gastrointestinal symptoms are also frequently encountered and may persist for several days. Haematological complications are frequent as well and have been associated with poor prognosis. Furthermore, recent studies have reported that over a third of infected patients develop a broad spectrum of neurological symptoms affecting the central nervous system, peripheral nervous system and skeletal muscles, including anosmia and ageusia. The skin, the kidneys, the liver, the endocrine organs and the eyes are also affected by the systemic COVID-19 disease. Herein, we provide a comprehensive overview of the organ-specific systemic manifestations of COVID-19.
            Article 0 comments Cited 256 times – based on 0 reviews     Review now
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              Autoimmune hepatitis.

              Edward L Krawitt (2006)
              Article 0 comments Cited 201 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Tinsay A. Woreta
                Journal
                Journal ID (nlm-ta): ACG Case Rep J
                Journal ID (iso-abbrev): ACG Case Rep J
                Journal ID (coden): ACGCRJ
                Journal ID (publisher-id): AC9
                Title: ACG Case Reports Journal
                Publisher: Wolters Kluwer (Maryland, MD )
                ISSN (Electronic): 2326-3253
                Publication date Collection: January 2023
                Publication date (Electronic): 1 February 2023
                Volume: 10
                Issue: 1
                Electronic Location Identifier: e00965
                Affiliations
                [1 ]Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
                Author notes
                Correspondence: Julia R. Gips, MD ( jgips1@ 123456jhmi.edu ).
                Article
                Publisher ID: ACGCR-22-0353 Accession ID: 00023
                DOI: 10.14309/crj.0000000000000965
                PMC ID: 9891451
                PubMed ID: 36743330
                SO-VID: 766b96e0-c793-4ee6-9f44-eb036163cad8
                Copyright © © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                History
                Date received : 18 May 2022
                Date accepted : 13 December 2022
                Categories
                Subject: Case Report
                Subject: Liver
                Custom metadata
                OPEN-ACCESS TRUE

                Keywords: autoimmune hepatitis,covid-19 vaccination,adverse response to vaccination
                Data availability:
                Keywords: autoimmune hepatitis, covid-19 vaccination, adverse response to vaccination

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