Henoch-Schönlein purpura following COVID-19 vaccine in a child: a case report

Ital J Pediatr. 2022 Sep 2;48(1):158. doi: 10.1186/s13052-022-01351-1.

Abstract

Background: Henoch-Schönlein purpura (HSP) is an IgA-mediated small vessel vasculitis, typical of childhood. It's a self-limiting disease and it affects different systems. HSP is characterized by dermatological, abdominal, joint and renal clinical manifestations. This condition usually occurs upon infections, mainly upper respiratory tract ones, medications, vaccinations and malignancies.

Case presentation: We describe the case of a 11 year-old girl who developed a urticarial rash 12 days after the first dose of Pfizer-BioNTech BNT16B2b2 mRNA vaccine and a clear picture of Henoch Schönlein purpura 5 days after administration of the second dose of the same vaccine.

Conclusion: To our knowledge, this is the first description of a pediatric patient with Henoch-Schönlein purpura occurring in association with vaccination against COVID-19.

Keywords: COVID-19 vaccine; Case report; Henoch-Schönlein purpura (HSP); IgA-mediated vasculitis; Pfizer-BioNTech BNT16B2b2 mRNA vaccine.

Publication types

  • Case Reports

MeSH terms

  • BNT162 Vaccine* / adverse effects
  • COVID-19* / prevention & control
  • Child
  • Female
  • Humans
  • IgA Vasculitis* / chemically induced
  • IgA Vasculitis* / diagnosis

Substances

  • BNT162 Vaccine