Inflammatory myopathies

Dermatomyositis in Association With SARS‐CoV‐2 Infection or COVID‐19 Vaccine

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Authors' conclusion

This retrospective review revealed a strong temporal relationship between DM symptoms and COVID-19 infection or vaccination in 12.2% of all patients with DM evaluated in our clinic during the pandemic.

Study context

Population
Patients treated for Dermatomyositis (DM) in the Division of Rheumatology, March 1, 2020 to October 31, 2022
Participants
98 patients
Outcome
New-onset DM or relapse of preexisting DM following SARS-CoV-2 infection or COVID-19 vaccination
Methodological detailsretrospective chart review, single-institution
  • Retrospective chart review
  • Single-institution

Main finding

As reported in the abstract

DM symptoms (incident or relapse) following infection or vaccination

Patients with DM symptoms after infection or vaccination

12 of 98

12.2%

Observational data: associations, not effects.

Further findings

Trigger among the 12 patients with incident disease or relapse

Postinfection symptoms
7 (58.3%)
Postvaccination symptoms
8 (66.7%)
Symptoms after both infection and vaccination
3

Time to symptom onset

Days

After COVID-19 infection, mean
3.2
After COVID-19 infection, median
0.5
After COVID-19 vaccination, mean
5.75
After COVID-19 vaccination, median
3.5

Antibody profile among the 12 patients

Positive myositis-specific antibody
9 of 12 (75%)
Myositis-associated antibodies
3 (25%)

Vaccine type

No predominant vaccine associated with postvaccination DM symptoms

Original publication

Dermatomyositis in Association With SARS‐CoV‐2 Infection or COVID‐19 Vaccine. Arthritis Care Res (Hoboken). Published 3 November 2023. doi:10.1002/acr.25236

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