» Articles » PMID: 33996868

COVID-19 and Sarcoidosis, Readiness for Vaccination: Challenges and Opportunities

Overview
Specialty General Medicine
Date 2021 May 17
PMID 33996868
Citations 13
Authors
Affiliations
Soon will be listed here.
Abstract

Sarcoidosis is an immune mediated chronic inflammatory disorder that is best characterized by non-caseating granulomas found in one or more affected organs. The COVID-19 pandemic poses a challenge for clinicians caring for sarcoidosis patients who may be at increased risk of infection compared to the general population. With the recent availability of COVID-19 vaccines, it is expected that clinicians raise questions regarding efficacy and safety in sarcoidosis. However, studies examining safety and efficacy of vaccines in sarcoidosis are lacking. In this review, we examine the current literature regarding vaccination in immunocompromised populations and apply them to sarcoidosis patients. The available literature suggests that vaccines are safe and effective in patients with autoimmune disorders and in those taking immunosuppressive medications. We strongly recommend the administration of COVID-19 vaccines in patients with sarcoidosis. We also present a clinical decision algorithm to provide guidance on vaccination of sarcoidosis patients against COVID-19.

Citing Articles

Sarcoidal Tattoo Granuloma After COVID-19 Vaccine.

Haller C, Schnebelen A, Cadmus S JAAD Case Rep. 2024; .

PMID: 38620113 PMC: 10300053. DOI: 10.1016/j.jdcr.2023.06.022.


Infectious Complications of Pulmonary Sarcoidosis.

Valeyre D, Bernaudin J, Brauner M, Nunes H, Jeny F J Clin Med. 2024; 13(2).

PMID: 38256476 PMC: 10816300. DOI: 10.3390/jcm13020342.


Impact of different classes of immune-modulating treatments on B cell-related and T cell-related immune response before and after COVID-19 booster vaccination in patients with immune-mediated diseases and primary immunodeficiency: a cohort study.

Koehm M, Klippstein M, Dauth S, Hallmann K, Kohmer N, Burkhardt H RMD Open. 2023; 9(3).

PMID: 37652553 PMC: 10476126. DOI: 10.1136/rmdopen-2023-003094.


Initial behaviors and attitudes towards the COVID-19 vaccine in sarcoidosis patients: results of a self-reporting questionnaire.

Vagts C, Sweis J, Sweis N, Ascoli C, Rottoli P, Martone F Sarcoidosis Vasc Diffuse Lung Dis. 2023; 40(2):e2023012.

PMID: 37382069 PMC: 10494750. DOI: 10.36141/svdld.v40i2.14388.


New-onset lung sarcoidosis, an adverse event by COVID-19 or a sign of convalescence; a case report.

Sadeghi S, Reisizadeh Mobarakeh S, Momenzadeh M, Aria A, Heidarpour M, Ahmadi S Clin Case Rep. 2023; 11(5):e7339.

PMID: 37180324 PMC: 10172450. DOI: 10.1002/ccr3.7339.


References
1.
Garg S, Kim L, Whitaker M, OHalloran A, Cummings C, Holstein R . Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 - COVID-NET, 14 States, March 1-30, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(15):458-464. PMC: 7755063. DOI: 10.15585/mmwr.mm6915e3. View

2.
van Assen S, Holvast A, Benne C, Posthumus M, Van Leeuwen M, Voskuyl A . Humoral responses after influenza vaccination are severely reduced in patients with rheumatoid arthritis treated with rituximab. Arthritis Rheum. 2009; 62(1):75-81. DOI: 10.1002/art.25033. View

3.
Spagnolo P, Rossi G, Trisolini R, Sverzellati N, Baughman R, Wells A . Pulmonary sarcoidosis. Lancet Respir Med. 2018; 6(5):389-402. DOI: 10.1016/S2213-2600(18)30064-X. View

4.
Ghinai I, McPherson T, Hunter J, Kirking H, Christiansen D, Joshi K . First known person-to-person transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the USA. Lancet. 2020; 395(10230):1137-1144. PMC: 7158585. DOI: 10.1016/S0140-6736(20)30607-3. View

5.
Rondaan C, Furer V, Heijstek M, Agmon-Levin N, Bijl M, Breedveld F . Efficacy, immunogenicity and safety of vaccination in adult patients with autoimmune inflammatory rheumatic diseases: a systematic literature review for the 2019 update of EULAR recommendations. RMD Open. 2019; 5(2):e001035. PMC: 6744079. DOI: 10.1136/rmdopen-2019-001035. View