First description of immune complex vasculitis after COVID-19 vaccination with BNT162b2: a case report

Author:

Mücke Victoria ThereseORCID,Knop Viola,Mücke Marcus Maximilian,Ochsendorf Falk,Zeuzem Stefan

Abstract

Abstract Background Cases of immune complex vasculitis have been reported following COVID-19 infections; so far none in association with novel mRNA-based COVID-19 vaccination. This case report describes a cutaneous immune complex vasculitis after vaccination with BNT162b2. Case presentation A 76-year old male with liver cirrhosis developed an immune complex vasculitis 12 days after the second injection of BNT162b2. On physical examination, the patient presented with pruritic purpuric macules on hands and feet, flexor and extensor parts of both legs and thighs and lower abdomen, and bloody diarrhoea. Laboratory testing showed elevated inflammatory markers. After short treatment with oral steroids all clinical manifestations and laboratory findings resolved. Conclusions An increasing number of clinical manifestations have been attributed to COVID-19 infection and vaccination. This is the first written report of immune complex vasculitis after vaccination with BNT162b2. We present our case report and a discussion in the light of type three hypersensitivity reaction.

Funder

none

Johann Wolfgang Goethe-Universität, Frankfurt am Main

Publisher

Springer Science and Business Media LLC

Subject

Infectious Diseases

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