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Vaccine-induced thrombotic thrombocytopenia following coronavirus vaccine: A narrative review

Syed Hassan Ahmed, Taha Gul Shaikh, Summaiyya Waseem, Nashwa Abdul Qadir, Zohaib Yousaf, Irfan Ullah

2021Annals of Medicine and Surgery16 citationsDOIOpen Access PDF

Abstract

The novel coronavirus pandemic has taken a toll on the global healthcare systems and economy. Safety precautions, along with vaccination, are the most effective preventive measures. The global vaccination program against COVID-19 has dramatically reduced the number of deaths and cases. However, the incidence of thrombotic events and thrombocytopenia post-COVID-19 vaccination known as vaccine-induced thrombotic thrombocytopenia has raised safety concerns. This has led to an element of vaccine hesitancy. The exact mechanism for vaccine-induced thrombotic thrombocytopenia is unknown. Although the incidence of thrombosis associated with COVID-19 vaccination is low, it still requires attention, especially in older people, smokers, and people with preexisting comorbidities. This study aims to review the pathophysiology, diagnosis, and management of vaccine-induced thrombotic thrombocytopenia, to provide a concise and comprehensive update.

Topics & Concepts

MedicineVaccinationPandemicIncidence (geometry)Intensive care medicineNarrative reviewImmunologyImmunizationThrombosisGlobal healthCoronavirus disease 2019 (COVID-19)PediatricsPublic healthImmune systemDiseaseInternal medicinePathologyInfectious disease (medical specialty)OpticsPhysicsHeparin-Induced Thrombocytopenia and ThrombosisPlatelet Disorders and TreatmentsBlood groups and transfusion
Vaccine-induced thrombotic thrombocytopenia following coronavirus vaccine: A narrative review | Litcius