ANCA-associated vasculitis following ChAdOx1 nCoV19 vaccination: case-based review

Rheumatol Int. 2022 Apr;42(4):749-758. doi: 10.1007/s00296-021-05069-x. Epub 2022 Feb 5.

Abstract

For the foreseeable future, vaccines are the cornerstone in the global campaign against the Coronavirus Disease-19 (COVID-19) pandemic. As the number and fatalities due to COVID-19 decline and the lockdown anywise rescinded, we recognize an increase in the incidence of autoimmune disease post-COVID-19 vaccination. However, the causality of the most vaccine-induced side effects is debatable and, at best, limited to a temporal correlation. We herein report a case of a 51-year-old gentleman who developed Anti-Neutrophil Cytoplasmic Antibody (ANCA)-associated vasculitis (AAV) 2 week post-COVID-19 vaccination. The patient responded favorably to oral steroids and rituximab. Additionally, we conducted a case-based review of vaccine-associated AAV describing their clinical manifestations and treatment response of this emerging entity.

Keywords: ANCA-associated vasculitis; Auto-immunity; COVID-19 vaccine; Glomerulonephritis; SARS-CoV-2 vaccine.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis* / drug therapy
  • Antibodies, Antineutrophil Cytoplasmic
  • COVID-19 Vaccines / adverse effects
  • COVID-19* / prevention & control
  • Communicable Disease Control
  • Humans
  • Male
  • Middle Aged
  • Vaccination

Substances

  • Antibodies, Antineutrophil Cytoplasmic
  • COVID-19 Vaccines