Sub-acute hypersensitive reaction to botulinum toxin type A following Covid-19 vaccination : Case report and literature review

Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc..

RATIONALE: Botulinum toxin type A (BTA) is one of the most widely used injectable agents in cosmetic surgery. Corona virus disease 2019 (Covid-19) infection and vaccination, which can induce specific and nonspecific activation of the immune system, has been reported to induce delayed inflammatory reactions to previously injected hyaluronic acid fillers. However, there are no reports about the interaction between BTA and Covid-19. We aimed to report 2 sub-acute cases of allergic reactions to BTA in facial cosmesis following the Covid-19 vaccination.

PATIENT CONCERN: A 35-year-old and a 34-year-old female who has several previous BTA injections without any adverse effects experienced facial swelling, flu-like symptoms after BTA treatment following the Covid-19 vaccination.

DIAGNOSE: According to the typical clinical manifestation, a hypersensitive reaction to BTA was considered.

INTERVENTION: Corticosteroids and antihistamine were administered empirically.

OUTCOMES: The flu-like symptoms recovered over the next day, but the facial swelling gradually faded within 1 to 2 weeks.

LESSONS: A literature review was also conducted to summarize the hypersensitive actions to cosmesis related to Covid-19. We recommend BTA injection be administered at least 2 to 3 months after Covid-19 vaccination.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Medicine - 100(2021), 49 vom: 10. Dez., Seite e27787

Sprache:

Englisch

Beteiligte Personen:

Guo, Xiaoshuang [VerfasserIn]
Li, Tongtong [VerfasserIn]
Wang, Ye [VerfasserIn]
Jin, Xiaolei [VerfasserIn]

Links:

Volltext

Themen:

Botulinum Toxins, Type A
COVID-19 Vaccines
Case Reports
EC 3.4.24.69
Journal Article
Review

Anmerkungen:

Date Completed 14.12.2021

Date Revised 03.01.2023

published: Print

Citation Status MEDLINE

doi:

10.1097/MD.0000000000027787

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334257727