• Internal medicine · Nov 2022

    Case Reports

    New-onset Seropositive Rheumatoid Arthritis Following COVID-19 Vaccination in a Patient with Seronegative Status.

    • Haruka Yonezawa, Shin-Ichiro Ohmura, Yusuke Ohkubo, and Toshiaki Miyamoto.
    • Department of Rheumatology, Seirei Hamamatsu General Hospital, Japan.
    • Intern. Med. 2022 Nov 15; 61 (22): 344934523449-3452.

    AbstractCoronavirus disease 2019 (COVID-19) has spread worldwide since 2019, and mRNA vaccines for the disease have been rapidly delivered to limit the severity of infection. However, while these vaccines are effective in reducing the morbidity and severity of the disease, some patients develop severe adverse drug reactions and new-onset autoimmune phenomena, such as myocarditis, thrombosis with thrombocytopenia, and vasculitis. In addition, some patients develop arthritis following vaccination, including rheumatoid arthritis (RA). We herein report a case of new-onset seropositive RA following COVID-19 mRNA vaccination. Although tests for rheumatoid factor and anti-cyclic citrullinated peptide antibody had been negative three years before vaccination, the patient developed seropositive RA following COVID-19 mRNA vaccination.

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