Bethesda, MD 20894, Web Policies doi: 10.1371/journal.pone.0254073. Patient concerns: A new haematocytometric index: Predicting severity and mortality risk value in COVID-19 patients. Axillary lymph node characteristics in breast cancer patients versus post-COVID-19 vaccination: Overview of current evidence per imaging modality. We aimed to predict the presence of vaccine-induced hypermetabolic lymph nodes (v-HLNs) on 18F-FDG PET/CT after coronavirus disease 2019 (COVID-19) vaccination and determine their association with lymphocyte counts. Unable to load your collection due to an error, Unable to load your delegates due to an error. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Zhang HJ, Qi GQ, Gu X, Zhang XY, Fang YF, Jiang H, Zhao YJ. -, Sahin U, Muik A, Derhovanessian E, et al. 2021. Epub 2022 Nov 28. A low WBC count puts you at risk of infections, including coronavirus (COVID-19) infections. Moreover, the lymphocyte count in dead cases was significantly lower than that of critical cases who recovered, at almost every time point in the critical groups. Would you like email updates of new search results? showed that immunosuppressive drugs given within 2 wk from vaccination did not affect axillary lymph node uptake in 293 patients who had been vaccinated with at least 1 influenza vaccination in the deltoid region (9). License: https://creativecommons.org/licenses/by/4.0/. 2022 Dec 6;9:1067082. doi: 10.3389/fmed.2022.1067082. Complications from COVID-19 vaccines have yet to be sufficiently analyzed because they are rapidly approved without long-term data. Table 1 summarizes the detailed demographic and clinicobiologic characteristics and PET imaging parameters of the 145 BC patients. J Neurol Sci 2021;428:117607. In particular, there are no case reports of lymphedema in a healthy patient following vaccination. Epub 2022 Apr 27. Additionally, lower mean absolute lymphocyte counts were identified in males, patients who required intubation, and patients who died. We did not include sex in our logistic regression analysis because of a sample-selection bias, explained by the predominance of women, who account for 80%. Clipboard, Search History, and several other advanced features are temporarily unavailable. The site is secure. In the specific case of early-stage BC patients, it is usually recommended that vaccine be administered in the arm opposite the BC side. Kilercik M, Demirelce , Serdar MA, Mikailova P, Serteser M. PLoS One. -, Baden LR, El Sahly HM, Essink B, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. This is a prognostic study that is conducted from March 1 to August 31, 2020. Adverse Events after COVID-19 Vaccination Are Rare Adverse events , including severe allergic reactions, after COVID-19 vaccination are rare but can happen. Patient distribution and complete blood count were among the information gathered. 2021 Feb 16;12:581469. doi: 10.3389/fimmu.2021.581469. Lower limb lymphedema and cellulitis as a complication of COVID-19 vaccine: A case report. 2022;10(6):631-642. doi: 10.1007/s40336-022-00521-9. Deep vein thrombosis more than two weeks after vaccination against COVID-19. Before eCollection 2022. The lymphocyte count in dead patients was significantly lower than that of critical recovered cases, at almost every time point in the critical groups (D). Clinical photograph of patient. The sample size (n = 7) was too small to allow a statistical analysis or to draw any conclusion. Lancet Respir Med 2020;8:4202. 18F-FDG PET/CT was performed in accordance with the applicable European Association of Nuclear Medicine procedure guidelines (25). Copyright 2021 Elsevier Inc. All rights reserved. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Zhang JJ, Cao YY, Tan G, Dong X, Wang BC, Lin J, Yan YQ, Liu GH, Akdis M, Akdis CA, Gao YD. Stuart ASV, Shaw RH, Liu X, Greenland M, Aley PK, Andrews NJ, Cameron JC, Charlton S, Clutterbuck EA, Collins AM, Darton T, Dinesh T, Duncan CJA, England A, Faust SN, Ferreira DM, Finn A, Goodman AL, Green CA, Hallis B, Heath PT, Hill H, Horsington BM, Lambe T, Lazarus R, Libri V, Lillie PJ, Mujadidi YF, Payne R, Plested EL, Provstgaard-Morys S, Ramasamy MN, Ramsay M, Read RC, Robinson H, Screaton GR, Singh N, Turner DPJ, Turner PJ, Vichos I, White R, Nguyen-Van-Tam JS, Snape MD; Com-COV2 Study Group. -, Grada AA, Phillips TJ. Furthermore, v-HLNs appeared to correlate with an effective humoral response induced by the mRNA vaccination (13). Ninety (35%) patients had v-HLNs, with a median SUVmax of 3.7 (range, 2.0-26.3), and 74 (44%) displayed lymphopenia, with a median ALC of 1.4 109/L (range, 0.3-18.3 109/L). HHS Vulnerability Disclosure, Help eCollection 2021. Accessibility Diabetes Metab Res Rev 2020;e3354. Having a low white blood cell (WBC) count, also known as leukopenia, means that your body is not making enough of the immune system cells it needs to fight pathogens. Cut-off values for absolute lymphocyte count ranged from 1.1 K/uL to 2.0 K/uL, with sensitivities of 72% and 94%, respectively. The authors have no conflicts of interest to disclose. demonstrated that the rate of v-HLNs after mRNA vaccination was significantly higher in patients with positive serology than in those with negative serology (13). This observation is not surprising given the pivotal role of lymphocytes in the immune response, specifically because these are instrumental in the formation of antibodies (30). Another interesting aspect of our work is that ALC after vaccination and before 18F-FDG PET/CT was an independent factor significantly associated with v-HLNs in the whole cohort of 260 patientsan observation that was further reinforced by our findings in the specific cohort of 145 BC patients. 2) on univariate analysis (Table 2). Early-Stage BC Cohort with Vaccination Ipsilateral to Tumor. doi: 10.1016/j.ijid.2020.03.020. Accessibility However, its not clear if COVID-19 played a role or how much of a role it played. Among BC patients, v-HLNs in the axillary area and beyond can mimic tumor lesions and lead to confounding of imaging results (16). Blood samples were analyzed when performed after vaccination and in the previous 28 d before 18F-FDG PET/CT. The absence of lymphopenia was the only independent factor significantly associated with v-HLNs (OR, 2.9; 95% CI, 1.27.4). Furthermore, the survival analysis revealed differences in the probability of survival within 30 days between COVID-19 patients with lymphopenia and those without (HR: 5.5722 (3.2509-9.5510), 95% CI; p<0.0001). In contrast, the researchers discovered that a form of white blood cells (leukocytes) called lymphocytes showed decreased stiffness in COVID-19 patients, while other white blood cells, known as monocytes, were significantly larger than in Kang MK, Lee YR, Song JE, Kweon YO, Tak WY, Jang SY, Park JG, Park SY. Methods: This is a prognostic study that is conducted from March 1 to August 31, 2020. However, its not clear if COVID-19 played a role or how much of a role it played. In particular, there are no case reports of lymphedema in a healthy patient following vaccination. Curtolo A, Oliva A, Volpicelli L, Ceccarelli G, D'Ettorre G, Borrazzo C, Mastroianni CM, Venditti M. Argenziano MG, Bruce SL, Slater CL, Tiao JR, Baldwin MR, Barr RG, Chang BP, Chau KH, Choi JJ, Gavin N, Goyal P, Mills AM, Patel AA, Romney MS, Safford MM, Schluger NW, Sengupta S, Sobieszczyk ME, Zucker JE, Asadourian PA, Bell FM, Boyd R, Cohen MF, Colquhoun MI, Colville LA, de Jonge JH, Dershowitz LB, Dey SA, Eiseman KA, Girvin ZP, Goni DT, Harb AA, Herzik N, Householder S, Karaaslan LE, Lee H, Lieberman E, Ling A, Lu R, Shou AY, Sisti AC, Snow ZE, Sperring CP, Xiong Y, Zhou HW, Natarajan K, Hripcsak G, Chen R. BMJ. Kahlon N, Shazadeh Safavi P, Abuhelwa Z, Sheikh T, Burmeister C, Doddi S, Assaly R, Barnett W. Cureus. In particular, there are no case reports of lymphedema in a healthy patient following vaccination. -, Deng M, Qi Y, Deng L, et al. Covid vaccines eight times less effective against this variant of concern A claim suggesting that the Covid-19 booster shot causes lymphoma has gone viral on social media. Epub 2021 Jun 30. eCollection 2022. Further research is required to validate such findings and identify clinical, biologic, and imaging factors associated with the nature of HLNs (benign vs. malignant) ipsilateral to the breast tumor in a larger cohort of patients with early-stage BC. Skawran S, Gennari AG, Dittli M, Treyer V, Muehlematter UJ, Maurer A, Burger IA, Mader C, Messerli O, Grnig H, Gebhard C, Huellner MW, Curioni-Fontecedro A, Berger C, Messerli M. Eur Radiol. However, ultrasonographic findings revealed no evidence of venous thrombosis or varicose veins. Bull Natl Res Cent. J Educ Health Promot. Keywords: National Library of Medicine We have shown that patient age (50 y), ALC (
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