Primary Cutaneous CD4 Small/Medium T-Cell Lymphoproliferative Disorder Following COVID-19 Vaccination-What Do We Know about Lymphoproliferative Disorders and Cutaneous Lymphomas after COVID-19 Vaccination? A Report of an Atypical Case and a Review of the Literature.

Autor: De la Torre-Gomar FJ; Dermatology Department, San Cecilio University Hospital, 18016 Granada, Spain., Llamas-Molina JM; Dermatology Department, San Cecilio University Hospital, 18016 Granada, Spain., Pegalajar-García MD; Dermatology Department, San Cecilio University Hospital, 18016 Granada, Spain., Pérez-Valencia C; Radiology Department, San Cecilio University Hospital, 18016 Granada, Spain., Carrero-Castaño A; Pathology Department, San Cecilio University Hospital, 18016 Granada, Spain., Ruiz-Villaverde R; Dermatology Department, San Cecilio University Hospital, 18016 Granada, Spain.
Jazyk: angličtina
Zdroj: Life (Basel, Switzerland) [Life (Basel)] 2024 Mar 14; Vol. 14 (3). Date of Electronic Publication: 2024 Mar 14.
DOI: 10.3390/life14030386
Abstrakt: The association between Primary cutaneous CD4 small/medium T-cell lymphoproliferative disorder (PCSM-TCLPD) and COVID-19 immunization has been sparsely documented in the medical literature. Reviewing the literature, albeit infrequently, we can find cases of the recurrence and new onset of lymphoproliferative processes and cutaneous lymphomas following the COVID-19 vaccine. Many of the entities we encounter are classified as cutaneous lymphoproliferative disorders. The prevailing hypothesis suggests that the predominant cutaneous reactions to SARS-CoV-2 vaccines may stem from T-cell-mediated immune activation responses to vaccine components, notably messenger RNA (mRNA). Specifically, it is posited that the presence of cutaneous lymphoid infiltrates may be linked to immune system stimulation, supported by the absence, to date, of instances of primary cutaneous B-cell lymphoma following mRNA vaccination. Within this context, it is imperative to underscore that the etiological association between PCSM-TCLPD and COVID-19 vaccination should not discourage vaccination efforts. Instead, it underscores the necessity for continuous surveillance, in-depth investigation, and comprehensive follow-up studies to delineate the specific attributes and underlying mechanisms of such cutaneous manifestations post vaccination.
Databáze: MEDLINE
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