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  1. 130 病院 = University Hospital
  2. 130 学術雑誌論文 = Articles in academic journal

Potential link between COVID-19 infection/vaccination and the onsets of TAFRO syndrome and idiopathic multicentric castleman disease

http://hdl.handle.net/10069/0002003710
http://hdl.handle.net/10069/0002003710
0a82ea2d-7f3e-4eac-b075-27fb309b8b7f
名前 / ファイル ライセンス アクション
IL278_107123.pdf IL278_107123.pdf (507 KB)
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2026-01-29
タイトル
タイトル Potential link between COVID-19 infection/vaccination and the onsets of TAFRO syndrome and idiopathic multicentric castleman disease
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 TAFRO syndrome
キーワード
言語 en
主題Scheme Other
主題 Idiopathic multicentric castleman disease
キーワード
言語 en
主題Scheme Other
主題 COVID-19
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Umeda, Masataka

× Umeda, Masataka

en Umeda, Masataka

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Mohamed, Lamiaa

× Mohamed, Lamiaa

en Mohamed, Lamiaa

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Umetsu, Ayaka

× Umetsu, Ayaka

en Umetsu, Ayaka

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Otsuka, Mizuna

× Otsuka, Mizuna

en Otsuka, Mizuna

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Endo, Yushiro

× Endo, Yushiro

en Endo, Yushiro

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Shimizu, Toshimasa

× Shimizu, Toshimasa

en Shimizu, Toshimasa

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Fukui, Shoichi

× Fukui, Shoichi

en Fukui, Shoichi

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Sumiyoshi, Remi

× Sumiyoshi, Remi

en Sumiyoshi, Remi

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Koga, Tomohiro

× Koga, Tomohiro

en Koga, Tomohiro

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Kawakami, Atsushi

× Kawakami, Atsushi

en Kawakami, Atsushi

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抄録
内容記述タイプ Abstract
内容記述 COVID-19 infection and vaccination have been reported as potential triggers for various autoimmune diseases, including TAFRO syndrome and idiopathic multicentric Castleman disease (iMCD). We investigated the incidence of TAFRO syndrome and that of iMCD in the patients admitted to Nagasaki University Hospital over a 10-year period from November 2014 to October 2024. The primary endpoint was the incidences of TAFRO syndrome/iMCD before and after the COVID-19 pandemic. The secondary endpoint was the impact of COVID-19 vaccination ≤4 weeks of disease onset on the patients' prognoses. Our analyses revealed that in the 5 years and 5 month-period before the pandemic, there were seven cases of TAFRO syndrome/iMCD (1.3 cases/year), while in the 4 years and 7 month-period following the pandemic's onset, 18 cases were identified (3.9 cases/year). Specifically, for iMCD-TAFRO and TAFRO without iMCD, the incidence rose from two cases (0.4 cases/year) pre-pandemic to 11 cases (2.4 cases/year) post-pandemic, representing a marked increase. Among the 13 cases of iMCD-TAFRO and TAFRO without iMCD observed, four patients developed symptoms within 4 weeks of receiving the COVID-19 vaccine, and all required ICU admission. Conversely, among the nine patients without a recent vaccination history, only two required ICU care (p = 0.02). Although potential confounders which could influence the diagnosis (e.g., increased awareness of the disease) were not controlled for, our findings suggest a possible link between COVID-19 infection or vaccination and the onsets of TAFRO syndrome and iMCD. COVID-19 vaccination is a crucial public health strategy to reduce COVID-19-related death and disability, but TAFRO syndrome that develops post-vaccination may progress to severe illness requiring ICU care, highlighting the need for careful monitoring.
言語 en
書誌情報 en : Immunology Letters

巻 278, p. art. no. 107123, 発行日 2025-12-20
出版者
出版者 Elsevier B.V.
言語 en
ISSN
収録物識別子タイプ ISSN
収録物識別子 01652478
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.imlet.2025.107123
権利
権利情報 © 2025 The Authors. Published by Elsevier B.V. on behalf of European Federation of Immunological Societies. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
言語 en
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
引用
内容記述タイプ Other
内容記述 Immunology Letters, 278, art. no. 107123; 2025
言語 en
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