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논문 기본 정보

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저자정보
Yoo Hongseok (Division of Pulmonary and Critical Care Medicine Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.) Kim Song Yee (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Severance Hospital Yonsei University College of Medicine Seoul Korea.) Park Moo Suk (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Severance Hospital Yonsei University College of Medicine Seoul Korea.) Jeong Sung Hwan (Division of Allergy Pulmonary and Critical Care Medicine Department of Internal Medicine Gachon University Gil Medical Center Incheon Korea.) Park Sung-Woo (Division of Allergy and Respiratory Medicine Department of Internal Medicine Soonchunhyang University Bucheon Hospital Bucheon Korea.) Lee Hong Lyeol (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine School of Medicine Inha University Incheon Korea.) Lee Hyun-Kyung (Division of Pulmonary Allergy and Critical Care Medicine Department of Internal Medicine Busan Paik Hospital Inje University Busan Korea.) Yang Sei-Hoon (Division of Pulmonary Department of Internal Medicine College of Medicine Wonkwang University Iksan Korea.) Jegal Yangjin (Division of Pulmonary and Critical Medicine Department of Internal Medicine Ulsan University Hospital College of Medicine University of Ulsan Ulsan Korea.) Yoo Jung-Wan (Department of Internal Medicine Gyeongsang National University Hospital Jinju Korea.) Lee Jongmin (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Kang Hyung Koo (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Ilsan Paik Hospital Inje University College of Medicine Goyang Korea.) Choi Sun Mi (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine College of Medicine Seoul National University Seoul Korea.) Park Jimyung (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine College of Medicine Seoul National University Seoul Korea.) Kim Young Whan (Division of Respiratory-Allergy and Clinical Immunology Department of Internal Medicine Konkuk University Medical Center Seoul Korea.) Song Jin Woo (Department of Pulmonary and Critical Care Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Park Joo Hun (Department of Pulmonary and Critical Care Medicine Ajou University School of Medicine Suwon Korea.) Choi Won-Il (Department of Internal Medicine Myongji Hospital Hanyang University College of Medicine Goyang Korea.) Choi Hye Sook (Division of Pulmonary Allergy and Critical Care Medicine Department of Internal Medicine Kyunghee University Hospital Seoul Korea.) Park Chul (Division of Pulmonary Department of Internal Medicine College of Medicine Wonkwang University Iksan Korea.) Park Jeong-Woong (Division of Allergy Pulmonary and Critical Care Medicine Department of Internal Medicine Gachon University Gil Medical Center Incheon Korea.) Chung Man Pyo (Division of Pulmonary and Critical Care Medicine Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.14
발행연도
2023.4
수록면
1 - 14 (14page)
DOI
10.3346/jkms.2023.38.e106

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Background: Recent reports have suggested that pneumonitis is a rare complication following vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, its clinical features and outcomes are not well known. The aim of this study was to identify the clinical characteristics and outcomes of patients with vaccine-associated pneumonitis following vaccination against SARS-CoV-2. Methods: In this nationwide multicenter survey study, questionnaires were distributed to pulmonary physicians in referral hospitals. They were asked to report cases of development or exacerbation of interstitial lung disease (ILD) associated with the coronavirus disease 2019 vaccine. Vaccine-associated pneumonitis was defined as new pulmonary infiltrates documented on chest computed tomography within 4 weeks of vaccination and exclusion of other possible etiologies. Results: From the survey, 49 cases of vaccine-associated pneumonitis were identified between February 27 and October 30, 2021. After multidisciplinary discussion, 46 cases were analyzed. The median age was 66 years and 28 (61%) were male. The median interval between vaccination and respiratory symptoms was 5 days. There were 20 (43%), 17 (37%), and nine (19%) patients with newly identified pneumonitis, exacerbation of pre-diagnosed ILD, and undetermined pre-existing ILD, respectively. The administered vaccines were BNT162b2 and ChAdOx1 nCov-19/AZD1222 each in 21 patients followed by mRNA-1273 in three, and Ad26. COV2.S in one patient. Except for five patients with mild disease, 41 (89%) patients were treated with corticosteroid. Significant improvement was observed in 26 (57%) patients including four patients who did not receive treatment. However, ILD aggravated in 9 (20%) patients despite treatment. Mortality was observed in eight (17%) patients. Conclusion: These results suggest pneumonitis as a potentially significant safety concern for vaccines against SARS-CoV-2. Clinical awareness and patient education are necessary for early recognition and prompt management. Additional research is warranted to identify the epidemiology and characterize the pathophysiology of vaccine-associated pneumonitis.
#COVID-19 #Interstitial Lung Disease #Pneumonitis #SARS-CoV-2 #Vaccine

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