COVID vaccine-induced lupus nephritis: Case report and review of the literature

Lupus. 2024 Feb;33(2):176-182. doi: 10.1177/09612033231222390. Epub 2024 Jan 2.

Abstract

Vaccines offer an effective strategy to prevent infectious diseases with minimal adverse effects. On rare occasions, vaccination can disrupt the immune response leading to induction of autoimmune diseases. We describe a case of new-onset lupus nephritis following COVID-19 vaccination with the first dose of the Pfizer vaccine. Her symptoms and lab values improved with steroids, hydroxychloroquine, and mycophenolate mofetil.

Keywords: COVID vaccine; Systemic lupus erythematosus; lupus nephritis.

Publication types

  • Review
  • Case Reports

MeSH terms

  • COVID-19 Vaccines
  • COVID-19*
  • Drug Therapy, Combination
  • Female
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Lupus Erythematosus, Systemic* / chemically induced
  • Lupus Nephritis* / drug therapy
  • Mycophenolic Acid / therapeutic use
  • Vaccines*

Substances

  • Immunosuppressive Agents
  • COVID-19 Vaccines
  • Mycophenolic Acid
  • Vaccines