Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination

The new coronavirus (COVID-19) pandemic has resulted in the unprecedented production of vaccines. In this context, the possible adverse effects remain to be identified and reported. In this article, we report the case of a young female patient who developed anti-3-hydroxy-3-methylglutaryl-coenzyme A...

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Main Authors: Marta Rodrigues de Carvalho, Myrian Mathildes Sá de Deus Rocha, Vinícius Alves Bezerra, Maciel Eduardo de Pontes, Maria Cristina del Negro, Julio Salgado Antunes, Vinícius Viana Abreu Montanaro, Rubens Nelson Morato Fernandez
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2023/7061783
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author Marta Rodrigues de Carvalho
Myrian Mathildes Sá de Deus Rocha
Vinícius Alves Bezerra
Maciel Eduardo de Pontes
Maria Cristina del Negro
Julio Salgado Antunes
Vinícius Viana Abreu Montanaro
Rubens Nelson Morato Fernandez
author_facet Marta Rodrigues de Carvalho
Myrian Mathildes Sá de Deus Rocha
Vinícius Alves Bezerra
Maciel Eduardo de Pontes
Maria Cristina del Negro
Julio Salgado Antunes
Vinícius Viana Abreu Montanaro
Rubens Nelson Morato Fernandez
author_sort Marta Rodrigues de Carvalho
collection DOAJ
description The new coronavirus (COVID-19) pandemic has resulted in the unprecedented production of vaccines. In this context, the possible adverse effects remain to be identified and reported. In this article, we report the case of a young female patient who developed anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase (anti-HMG-CoA) immune-mediated necrotizing myositis (IMNM) after receiving the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine. The diagnosis of probable post-vaccination IMNM was made due to the absence of other factors that may have led to the development of autoantibodies (medicines; e.g., statins, drugs) and the temporal relationship between exposure and event. This case report is the first to suggest that a COVID-19 vaccine may trigger anti-HMG-CoA reductase necrotizing myopathy.
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spelling doaj.art-a5f844a97e7a4e0cb2e324d156623d922023-06-04T00:00:01ZengHindawi LimitedCase Reports in Neurological Medicine2090-66762023-01-01202310.1155/2023/7061783Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 VaccinationMarta Rodrigues de Carvalho0Myrian Mathildes Sá de Deus Rocha1Vinícius Alves Bezerra2Maciel Eduardo de Pontes3Maria Cristina del Negro4Julio Salgado Antunes5Vinícius Viana Abreu Montanaro6Rubens Nelson Morato Fernandez7Department of Neurology and Clinical NeurophysiologyDepartment of Neurology and Clinical NeurophysiologyDepartment of RadiologyDepartment of Neurology and Clinical NeurophysiologyDepartment of NeurologyDepartment of PathologyDepartment of NeurologyDepartment of Neurology and Clinical NeurophysiologyThe new coronavirus (COVID-19) pandemic has resulted in the unprecedented production of vaccines. In this context, the possible adverse effects remain to be identified and reported. In this article, we report the case of a young female patient who developed anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase (anti-HMG-CoA) immune-mediated necrotizing myositis (IMNM) after receiving the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine. The diagnosis of probable post-vaccination IMNM was made due to the absence of other factors that may have led to the development of autoantibodies (medicines; e.g., statins, drugs) and the temporal relationship between exposure and event. This case report is the first to suggest that a COVID-19 vaccine may trigger anti-HMG-CoA reductase necrotizing myopathy.http://dx.doi.org/10.1155/2023/7061783
spellingShingle Marta Rodrigues de Carvalho
Myrian Mathildes Sá de Deus Rocha
Vinícius Alves Bezerra
Maciel Eduardo de Pontes
Maria Cristina del Negro
Julio Salgado Antunes
Vinícius Viana Abreu Montanaro
Rubens Nelson Morato Fernandez
Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
Case Reports in Neurological Medicine
title Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
title_full Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
title_fullStr Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
title_full_unstemmed Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
title_short Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination
title_sort anti 3 hydroxy 3 methylglutaryl coenzyme a reductase immune mediated necrotizing myopathy following mrna sars cov 2 vaccination
url http://dx.doi.org/10.1155/2023/7061783
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