Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines

Many patients are receiving SARS-CoV-2 vaccinations, which have been associated with a variety of adverse effects. Cutaneous adverse reactions to SARS-CoV-2 vaccinations have been progressively reported, but they have not been reviewed according to their morphological clinical patterns. The objectiv...

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Autores principales: Francesco Bellinato, Martina Maurelli, Paolo Gisondi, Giampiero Girolomoni
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/389fdc3d0faa42e783bf03fd76d7357c
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spelling oai:doaj.org-article:389fdc3d0faa42e783bf03fd76d7357c2021-11-25T18:01:56ZCutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines10.3390/jcm102253442077-0383https://doaj.org/article/389fdc3d0faa42e783bf03fd76d7357c2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5344https://doaj.org/toc/2077-0383Many patients are receiving SARS-CoV-2 vaccinations, which have been associated with a variety of adverse effects. Cutaneous adverse reactions to SARS-CoV-2 vaccinations have been progressively reported, but they have not been reviewed according to their morphological clinical patterns. The objective of this review was to summarize the existing data concerning the cutaneous adverse reactions following SARS-CoV-2 vaccines and group them according to common morphological and pathogenetic patterns. We reviewed the English language literature up to 15 August 2021, using predefined keywords to identify the relevant studies evaluating cutaneous adverse reactions associated with SARS-CoV-2 vaccines. We search for recurrent morphological patterns sharing clinical signs and symptoms and physio-pathological mechanisms. Timing to onset following the first or booster dose of the vaccine, predisposing conditions, therapeutic management, and outcome were also collected. Among the dermatological manifestations associated with SARS-CoV-2 vaccinations, we distinguished: (1) new onset reactions and (2) flares of preexisting dermatoses. The most common were injection site reactions, affecting 30–70% and generally mild or moderate. Small case series or single case reports included filler reactions, exanthemas, vascular lesions, urticaria, eczematous dermatitis, autoimmune bullous reactions, and severe cutaneous adverse reactions. In addition, the exacerbation of chronic immuno-mediated dermatoses (mainly psoriasis and atopic dermatitis) and reactivations of herpes infection were reported. The cutaneous reactions were generally mild, self-limiting, and resembled common cutaneous drug eruptions and/or COVID-19 skin manifestations.Francesco BellinatoMartina MaurelliPaolo GisondiGiampiero GirolomoniMDPI AGarticlevaccinesCOVID-19cutaneous adverse reactionexanthemasafetyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5344, p 5344 (2021)
institution DOAJ
collection DOAJ
language EN
topic vaccines
COVID-19
cutaneous adverse reaction
exanthema
safety
Medicine
R
spellingShingle vaccines
COVID-19
cutaneous adverse reaction
exanthema
safety
Medicine
R
Francesco Bellinato
Martina Maurelli
Paolo Gisondi
Giampiero Girolomoni
Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
description Many patients are receiving SARS-CoV-2 vaccinations, which have been associated with a variety of adverse effects. Cutaneous adverse reactions to SARS-CoV-2 vaccinations have been progressively reported, but they have not been reviewed according to their morphological clinical patterns. The objective of this review was to summarize the existing data concerning the cutaneous adverse reactions following SARS-CoV-2 vaccines and group them according to common morphological and pathogenetic patterns. We reviewed the English language literature up to 15 August 2021, using predefined keywords to identify the relevant studies evaluating cutaneous adverse reactions associated with SARS-CoV-2 vaccines. We search for recurrent morphological patterns sharing clinical signs and symptoms and physio-pathological mechanisms. Timing to onset following the first or booster dose of the vaccine, predisposing conditions, therapeutic management, and outcome were also collected. Among the dermatological manifestations associated with SARS-CoV-2 vaccinations, we distinguished: (1) new onset reactions and (2) flares of preexisting dermatoses. The most common were injection site reactions, affecting 30–70% and generally mild or moderate. Small case series or single case reports included filler reactions, exanthemas, vascular lesions, urticaria, eczematous dermatitis, autoimmune bullous reactions, and severe cutaneous adverse reactions. In addition, the exacerbation of chronic immuno-mediated dermatoses (mainly psoriasis and atopic dermatitis) and reactivations of herpes infection were reported. The cutaneous reactions were generally mild, self-limiting, and resembled common cutaneous drug eruptions and/or COVID-19 skin manifestations.
format article
author Francesco Bellinato
Martina Maurelli
Paolo Gisondi
Giampiero Girolomoni
author_facet Francesco Bellinato
Martina Maurelli
Paolo Gisondi
Giampiero Girolomoni
author_sort Francesco Bellinato
title Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
title_short Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
title_full Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
title_fullStr Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
title_full_unstemmed Cutaneous Adverse Reactions Associated with SARS-CoV-2 Vaccines
title_sort cutaneous adverse reactions associated with sars-cov-2 vaccines
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/389fdc3d0faa42e783bf03fd76d7357c
work_keys_str_mv AT francescobellinato cutaneousadversereactionsassociatedwithsarscov2vaccines
AT martinamaurelli cutaneousadversereactionsassociatedwithsarscov2vaccines
AT paologisondi cutaneousadversereactionsassociatedwithsarscov2vaccines
AT giampierogirolomoni cutaneousadversereactionsassociatedwithsarscov2vaccines
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