Inflammatory immune-mediated adverse reactions induced by COVID-19 vaccines in previously injected patients with soft tissue fillers : A case series of 20 patients

© 2022 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC..

BACKGROUND: Adverse events (AE) after COVID-19 vaccines, particularly, but not solely, with those messenger RNA (mRNA)-based vaccines, have rarely been reported in patients previously treated with dermal fillers (DF).

OBJECTIVE: To evaluate the morphology, clinical characteristics, the timing of presentation, and outcomes of inflammatory AE appeared in patients injected with DF, after anti-COVID-19 vaccination.

METHODS: Descriptive study of a case series of 20 consecutive patients collected after the occurrence of AE in previously filled areas post COVID-19 vaccination.

RESULTS: From January 2021 to July 2021, we analyzed 20 AE reactions triggered by COVID-19 vaccines in the previously mentioned cohort. They were vaccinated with Pfizer/Biontech (11; 55%), Moderna (5; 25%), Astra-Zeneca (3; 15%), and Sputnik (1; 5%). The most common manifestations were oedema/swelling, angioedema, erythema, skin induration, and granuloma. Less common reactions included myalgia and lymphadenopathy. In 13/20 (65%) cases, the AE appeared after the first dose of vaccine. These inflammatory AE appeared more rapidly after the second dose than after the first one. In 13/20 (65%) cases, the symptomatology subsided with anti-inflammatory/antihistaminic drugs, while spontaneously in 3/20 (15%). The manifestations are ongoing.in the remaining four cases (20%).

CONCLUSION: Although probably rare, both RNA-based and adenovirus-based anti-COVID-19 vaccines can cause inflammatory bouts in patients previously treated with DF. In these cases, caution should be paid on subsequent vaccine doses, considering a tailored risk/benefit for any case before next vaccination.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Journal of cosmetic dermatology - 21(2022), 8 vom: 17. Aug., Seite 3181-3187

Sprache:

Englisch

Beteiligte Personen:

Alijotas-Reig, Jaume [VerfasserIn]
García-GImenez, Victor [VerfasserIn]
Velthuis, Peter J [VerfasserIn]
Niessen, Frank B [VerfasserIn]
Decates, Tom S [VerfasserIn]

Links:

Volltext

Themen:

Adverse reactions
COVID-19
COVID-19 Vaccines
Dermal Fillers
Inflammation
Journal Article
SARS-CoV-2
Soft tissue fillers
Vaccines

Anmerkungen:

Date Completed 09.08.2022

Date Revised 05.10.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jocd.15117

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341435570