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10.1111/cen.14566

http://scihub22266oqcxt.onion/10.1111/cen.14566
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34358373!8444815!34358373
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suck abstract from ncbi


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pmid34358373      Clin+Endocrinol+(Oxf) 2023 ; 99 (5): 470-473
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  • ChAdOx1 SARS-CoV-2 vaccination: A putative precipitant of adrenal crises #MMPMID34358373
  • Maguire D; McLaren DS; Rasool I; Shah PM; Lynch J; Murray RD
  • Clin Endocrinol (Oxf) 2023[Nov]; 99 (5): 470-473 PMID34358373show ga
  • BACKGROUND: Patients with adrenal insufficiency (AI) have excess mortality, in part due to the occurrence of life-threatening adrenal crises. Infective processes, including that of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are recognised as the major precipitant of adrenal crises. Adverse reactions to the ChAdOx1 SARS-CoV-2 vaccine occur in a significant proportion of individuals, however, are mild-moderate in the majority of cases. DESIGN: Case series. PATIENTS & RESULTS: We describe five cases where more severe adverse reactions to the ChAdOx1 SARS-CoV-2 vaccine led to actual or incipient adrenal crises requiring parenteral hydrocortisone within 24 h of receiving the first ChAdOx1 SARS-CoV-2 vaccination. CONCLUSION: In individuals with adrenal insufficiency, adverse reactions to the initial dose of the ChAdOx1 SARS-CoV-2 vaccination can precipitate adrenal crises. We recommend that patients with AI should immediately increase their maintenance glucocorticoid dosage 2-3 fold on experiencing any symptoms in the initial 24 h following vaccination.
  • |*Adrenal Insufficiency/etiology[MESH]
  • |*COVID-19 Vaccines/adverse effects[MESH]
  • |*COVID-19/prevention & control[MESH]
  • |Acute Disease[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]


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