Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review

Background. Myasthenia gravis (MG) is a neuromuscular, autoimmune disease that causes weakness by impairing neuromuscular transmission. According to reports, vaccines can lead to autoimmunity in different ways, and COVID-19 vaccines are suggested to trigger MG. We conducted this systematic review to...

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Main Authors: Omid Mirmosayyeb, Elham Moases Ghaffary, Mahsa Mazdak, Zahra Bagheri, Sara Bagherieh, Vahid Shaygannejad
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2022/5009450
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author Omid Mirmosayyeb
Elham Moases Ghaffary
Mahsa Mazdak
Zahra Bagheri
Sara Bagherieh
Vahid Shaygannejad
author_facet Omid Mirmosayyeb
Elham Moases Ghaffary
Mahsa Mazdak
Zahra Bagheri
Sara Bagherieh
Vahid Shaygannejad
author_sort Omid Mirmosayyeb
collection DOAJ
description Background. Myasthenia gravis (MG) is a neuromuscular, autoimmune disease that causes weakness by impairing neuromuscular transmission. According to reports, vaccines can lead to autoimmunity in different ways, and COVID-19 vaccines are suggested to trigger MG. We conducted this systematic review to assess MG patients after the COVID-19 vaccination. Methods. We collected 231 studies from four databases from inception to 26 March 2022. Results. 4 case studies were selected from 231 research studies, and data were extracted based on inclusion criteria. In all cases, MG was reported following COVID-19 vaccination. Symptoms such as muscle weakness, numbness, and ptosis were common. The MG was confirmed through RNST, MRC, NCS, and AchR-binding antibody titer tests. Conclusion. Although all cases of MG were diagnosed following appropriate tests, the sample size was small; therefore, further investigation is required to demonstrate the possible association between MG and COVID-19 vaccination.
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institution Kabale University
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publishDate 2022-01-01
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-a7b0d5f646594904ac799b941e7901382025-02-03T01:20:06ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1918-14932022-01-01202210.1155/2022/5009450Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic ReviewOmid Mirmosayyeb0Elham Moases Ghaffary1Mahsa Mazdak2Zahra Bagheri3Sara Bagherieh4Vahid Shaygannejad5Department of NeurologyIsfahan Neurosciences Research CenterIsfahan Neurosciences Research CenterIsfahan Neurosciences Research CenterIsfahan Neurosciences Research CenterDepartment of NeurologyBackground. Myasthenia gravis (MG) is a neuromuscular, autoimmune disease that causes weakness by impairing neuromuscular transmission. According to reports, vaccines can lead to autoimmunity in different ways, and COVID-19 vaccines are suggested to trigger MG. We conducted this systematic review to assess MG patients after the COVID-19 vaccination. Methods. We collected 231 studies from four databases from inception to 26 March 2022. Results. 4 case studies were selected from 231 research studies, and data were extracted based on inclusion criteria. In all cases, MG was reported following COVID-19 vaccination. Symptoms such as muscle weakness, numbness, and ptosis were common. The MG was confirmed through RNST, MRC, NCS, and AchR-binding antibody titer tests. Conclusion. Although all cases of MG were diagnosed following appropriate tests, the sample size was small; therefore, further investigation is required to demonstrate the possible association between MG and COVID-19 vaccination.http://dx.doi.org/10.1155/2022/5009450
spellingShingle Omid Mirmosayyeb
Elham Moases Ghaffary
Mahsa Mazdak
Zahra Bagheri
Sara Bagherieh
Vahid Shaygannejad
Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
Canadian Journal of Infectious Diseases and Medical Microbiology
title Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
title_full Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
title_fullStr Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
title_full_unstemmed Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
title_short Is Myasthenia Gravis a Real Complication of the COVID-19 Vaccine? A Case Report-Based Systematic Review
title_sort is myasthenia gravis a real complication of the covid 19 vaccine a case report based systematic review
url http://dx.doi.org/10.1155/2022/5009450
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