Title |
Pancreatitis after human papillomavirus vaccination: a matter of molecular mimicry
|
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Published in |
Immunologic Research, July 2016
|
DOI | 10.1007/s12026-016-8823-9 |
Pubmed ID | |
Authors |
Mojca Bizjak, Or Bruck, Sonja Praprotnik, Shani Dahan, Yehuda Shoenfeld |
Abstract |
A 20-year-old man developed severe abdominal pain 1 week after being vaccinated with the first dose of quadrivalent human papillomavirus (HPV) vaccine (Gardasil(®)). Despite ongoing symptoms of nausea and pain, he received the second dose of the vaccine. Only 10 days later, laboratory results revealed significantly elevated pancreatic enzymes, and with concomitant abdominal pain and vomiting, he was diagnosed with acute pancreatitis. This case of acute pancreatitis after HPV vaccination is not a novel entity. Although confirming the relationship between pancreatitis and vaccine is challenging, some factors suggest a possible link, including the positive re-challenge upon repeated exposure to the vaccine, HPV vaccine as probable causal relationship to other autoimmune diseases and a probable mechanism of molecular mimicry. In conjunction with aluminum adjuvant, the induction of immunity through molecular mimicry may potentially culminate in production of cytotoxic autoantibodies with a particular affinity for pancreatic acinar cells. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 11 | 15% |
Japan | 6 | 8% |
United Kingdom | 2 | 3% |
Portugal | 1 | 1% |
Belgium | 1 | 1% |
New Zealand | 1 | 1% |
Canada | 1 | 1% |
Denmark | 1 | 1% |
France | 1 | 1% |
Other | 1 | 1% |
Unknown | 45 | 63% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 67 | 94% |
Scientists | 3 | 4% |
Practitioners (doctors, other healthcare professionals) | 1 | 1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 30 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 23% |
Student > Bachelor | 5 | 17% |
Other | 4 | 13% |
Lecturer > Senior Lecturer | 2 | 7% |
Researcher | 2 | 7% |
Other | 5 | 17% |
Unknown | 5 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 9 | 30% |
Immunology and Microbiology | 3 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 7% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Agricultural and Biological Sciences | 1 | 3% |
Other | 3 | 10% |
Unknown | 11 | 37% |