New-Onset Kidney Diseases after COVID-19 Vaccination: A Case Series.
Jeong Hoon LimMee-Seon KimYong-Jin KimMan-Hoon HanHee-Yeon JungJi-Young ChoiJang Hee ChoChan Duck KimYong Lim KimSun Hee ParkPublished in: Vaccines (2022)
Various vaccines against COVID-19 have been developed and proven to be effective, but their side effects, especially on kidney function, are not yet known in detail. In this study, we report the clinical courses and histopathologic findings of new-onset kidney diseases after COVID-19 vaccination as confirmed via kidney biopsy. Five patients aged 42 to 77 years were included in this study, and baseline kidney function was normal in all patients. The biopsy-proven diagnosis indicated newly developed kidney diseases: (1) IgA nephropathy presenting with painless gross hematuria, (2) minimal change disease presenting with nephrotic syndrome, (3) thrombotic microangiopathy, and (4) two cases of acute tubulointerstitial nephritis presenting with acute kidney injury. Individualized treatment was applied as per disease severity and underlying pathology, and the treatment outcomes of all patients were improved. Since this is not a controlled study, the specific pathophysiologic link and causality between the incidence of kidney diseases and COVID-19 vaccination are difficult to confirm. However, clinicians need to consider the possibility that kidney diseases may be provoked by vaccines in patients who have renal symptoms.
Keyphrases
- end stage renal disease
- ejection fraction
- sars cov
- coronavirus disease
- chronic kidney disease
- acute kidney injury
- newly diagnosed
- peritoneal dialysis
- emergency department
- risk factors
- patient reported outcomes
- depressive symptoms
- physical activity
- acute respiratory distress syndrome
- ultrasound guided
- fine needle aspiration
- combination therapy
- adverse drug