2022
DOI: 10.1002/cia2.12279
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Neutrophilic dermatosis with necrobiotic changes as an unusual manifestation after the first shot of a COVID‐19 mRNA vaccine together with a high fever and liver injury

Abstract: Coronavirus disease 19 (COVID‐19) mRNA vaccines sometimes cause various skin rashes. We report an unusual case of erythema nodosum‐like nodules with vesicular and pustular papules, which arose after the first shot of a COVID‐19 mRNA vaccine. A skin biopsy showed marked neutrophilic infiltration with necrobiotic changes throughout the dermis and subcutis. Immunohistochemically, CD8 + cells were much more common than CD4 + cells in the dense neutrophilic infiltrates.… Show more

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Cited by 4 publications
(2 citation statements)
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“…A total of 164 non‐injection‐site reactions in 161 patients have been reported in previous case reports and series 7–88 . Patients with systemic lupus erythematosus (SLE) and lupus erythematosus profundus (LEP) showed exacerbation of lupus eruptions after 2 weeks, and other AEs developed several months later.…”
Section: Resultsmentioning
confidence: 99%
“…A total of 164 non‐injection‐site reactions in 161 patients have been reported in previous case reports and series 7–88 . Patients with systemic lupus erythematosus (SLE) and lupus erythematosus profundus (LEP) showed exacerbation of lupus eruptions after 2 weeks, and other AEs developed several months later.…”
Section: Resultsmentioning
confidence: 99%
“…Other types of reported acute febrile neutrophilic dermatosis comprise cellulitis‐like SS and bullous SS 39,43 . In the latest publication concerning acute skin reaction after Pfizer‐BioNTech vaccine included in this review, the authors settle the diagnosis of neutrophilic dermatosis with necrobiotic changes 40 . However, the patient meets the diagnostic criteria for SS, therefore this case was incorporated into the analysis.…”
Section: Discussionmentioning
confidence: 99%