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Risk of disease relapse following COVID-19 vaccination in patients with AQP4-IgG-positive NMOSD and MOGAD.

Authors :
Dinoto A
Sechi E
Ferrari S
Gajofatto A
Orlandi R
Solla P
Maccabeo A
Maniscalco GT
Andreone V
Sartori A
Manganotti P
Rasia S
Capra R
Mancinelli CR
Mariotto S
Source :
Multiple sclerosis and related disorders [Mult Scler Relat Disord] 2022 Feb; Vol. 58, pp. 103424. Date of Electronic Publication: 2021 Nov 22.
Publication Year :
2022

Abstract

Post-vaccination disease relapses have been reported in patients with MOGAD and AQP4-IgG+NMOSD. In this retrospective multicenter Italian study we assessed the frequency of relapses after SARS-CoV-2 vaccination. We included 56 cases: MOGAD, 30; AQP4-IgG+NMOSD, 26. Vaccines received were BNT162b2-Pfizer-BioNTech in 42 patients and mRNA-1273-Moderna in 14 patients. Six patients had a history of SARS-CoV-2 infection; two of them experienced a post-infection disease relapse (MOGAD). The frequency of relapses within one month of SARS-CoV-2 vaccination was 4% (1/26) in the AQP4-IgG+NMOSD group and 0% in the MOGAD group. In these patients the potential benefits of vaccination overcome the risk of relapses.<br /> (Copyright © 2021 Elsevier B.V. All rights reserved.)

Details

Language :
English
ISSN :
2211-0356
Volume :
58
Database :
MEDLINE
Journal :
Multiple sclerosis and related disorders
Publication Type :
Report
Accession number :
35216793
Full Text :
https://doi.org/10.1016/j.msard.2021.103424