期刊
MEDICINA-LITHUANIA
卷 57, 期 12, 页码 -出版社
MDPI
DOI: 10.3390/medicina57121333
关键词
vaccine; TDaP; autoimmune; inflammatory syndrome induced by adjuvants; autoimmunity; molecular mimicry; aluminum; cachexia; autoantibodies
ASIA syndrome, induced by adjuvants, encompasses a group of autoimmune conditions that thrive in genetically predisposed individuals, leading to various symptoms such as fatigue, sleep disturbances, and orthostatic intolerance. A case of an 18-year-old woman suffering from severe dysautonomia caused by the tetanus, diphtheria, and pertussis vaccine (Tdap) highlights the impact of this syndrome.
Autoimmune/inflammatory Syndrome Induced by Adjuvants (ASIA; Shoenfeld's syndrome) comprehends a group of autoimmune conditions that flourish in genetically predisposed individuals, following an external stimulus by the so-called adjuvants. Many adjuvants were described, such as vaccines, aluminum and other metals, silicone, tattoos, among others. Those conditions entail defined diseases, such as sarcoidosis and Sjogren's syndrome, and generalized complex symptoms, for example, fatigue, sleep disturbance, orthostatic intolerance, and other dysautonomic manifestations. Those complaints were previously associated with autoantibodies against nervous system autonomic receptors, especially antibeta 1 adrenergic receptor antibodies, suggesting the autoimmune component of the condition. Here we report on a case of an 18-year-old woman who presented with extreme cachexia due to severe dysautonomia caused by the ASIA syndrome induced by the tetanus, diphtheria, and pertussis vaccine (Tdap).
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