Occurrence of Autoimmune Diseases Related to the Vaccine against Yellow Fever.

Autor(es): Oliveira Ana Cristina Vanderley; Maria Henrique da Mota Licia; Dos Santos-Neto Leopoldo Luiz; De Carvalho Jozélio Freire; Caldas Iramaya Rodrigues; Martins Filho Olindo Assis; Tauil Pedro Luis


Resumo: Yellow fever is an infectious disease, endemic in South America and Africa. This is a potentially serious illness, with lethality between 5 and 40% of cases. The most effective preventive vaccine is constituted by the attenuated virus strain 17D, developed in 1937. It is considered safe and effective, conferring protection in more than 90% in 10 years. Adverse effects are known as mild reactions (allergies, transaminases transient elevation, fever, headache) and severe (visceral and neurotropic disease related to vaccine). However, little is known about its potential to induce autoimmune responses. This systematic review aims to identify the occurrence of autoinflammatory diseases related to 17D vaccine administration. Six studies were identified describing 13 possible cases. The diseases were Guillain-Barré syndrome, multiple sclerosis, multiple points evanescent syndrome, acute disseminated encephalomyelitis, autoimmune hepatitis, and Kawasaki disease. The data suggest that 17D vaccination may play a role in the mechanism of loss of self-tolerance.


Imprenta: Autoimmune Diseases, 2014


Identificador do objeto digital: 10.1155/2014/473170


Descritores: Guillain-Barre Syndrome - Infectious diseases ; Guillain-Barre Syndrome - Viral infections ; Guillain-Barre Syndrome - Virus ; Guillain-Barre Syndrome - Vaccine


Data de publicação: 2014