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In light of the discovery of Autoimmune Syndrome Induced by Adjuvants, or ASIA, Vaccines and Autoimmunity explores the role of adjuvants - specifically aluminum in different vaccines - and how they can induce diverse autoimmune clinical manifestations in genetically prone individuals. Vaccines and Autoimmunity is divided into three sections; the first contextualizes the role of adjuvants in the framework of autoimmunity, covering the mechanism of action of adjuvants, experimental models of adjuvant induced autoimmune diseases, infections as adjuvants, the Gulf War Syndrome, sick-building syndrome (SBS), safe vaccines, toll-like receptors, TLRS in vaccines, pesticides as adjuvants, oil as adjuvant, mercury, aluminum and autoimmunity. The following section reviews literature on vaccines that have induced autoimmune conditions such as MMR and HBV, among others. The final section covers diseases in which vaccines were known to be the solicitor - for instance, systemic lupus erythematosus - and whether it can be induced by vaccines for MMR, HBV, HCV, and others. Edited by leaders in the field, Vaccines and Autoimmunity is an invaluable resource for advanced students and researchers working in pathogenic and epidemiological studies.
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Cover
Title Page
Copyright
Contributors
Introduction
References
Part I: Mosaic of Autoimmunity
Chapter 1: Role of Adjuvants in Infection and Autoimmunity
Introduction
The different types of adjuvants
Mechanisms of adjuvanticity
Autoimmunity and environmental/natural adjuvants
Adjuvant-related diseases
Conclusions
References
Chapter 2: Infections as Adjuvants for Autoimmunity: The Adjuvant Effect
Introduction
The adjuvant effect
Conclusions
Acknowledgments
References
Chapter 3: Experimental Models of Adjuvants
Adjuvant models
Murine models
Salmon
Rabbits
Swine
Primates
Conclusions
References
Chapter 4: Answers to Common Misconceptions Regarding the Toxicity of Aluminum Adjuvants in Vaccines
Introduction
Al and neurological disorders
Al as adjuvant in vaccines
Conclusions
Acknowledgments
References
Chapter 5: Allergy and Autoimmunity Caused by Metals: A Unifying Concept
Introduction
Delayed-type hypersensitivity
The allergic and autoimmune effects of metals
Conclusions
References
Chapter 6: Genetics and Vaccinology
Introduction
Brief history of vaccinology
Vaccine response and genetics
Conclusions
References
Chapter 7: Silicone and Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA)
Introduction
Silicone and autoimmunity
Conclusions
References
Chapter 8: Silicone Breast Implants and Autoimmune/Inflammatory Syndrome induced by Adjuvants (ASIA): A Literature Search
Introduction
ASIA and siliconosis
Methods
Results
Mechanisms of siliconosis
Conclusions
References
Chapter 9: Autoantibodies Induced by Vaccine
Introduction
Autoantibodies induced by vaccines in animals
Autoantibodies induced by vaccine in apparently healthy people
Autoantibodies induced by vaccine in patients with autoimmune diseases
Conclusions
References
Chapter 10: The ASIA Syndrome Registry
Introduction
Purpose
Structure
Analyses and uses of ASIA Registry data
Limitations
Conclusions
References
Chapter 11: Vaccination in Autoimmune Diseases
Introduction
Vaccination of patients with ARDs
References
Chapter 12: Vaccination in Patients with Autoimmune Inflammatory Rheumatic Diseases
Introduction
Risk of infection in patients with AIRD
Safety and efficacy of vaccines in patients with AIRD
EULAR recommendations for immunizations in AIRD patients
Vaccination in AIRD and ASIA patients
References
Part II: Studies on Autoimmune Conditions Induced by Vaccination
Chapter 13: Measles, Mumps, and Rubella Vaccine: A Triad to Autoimmunity
Introduction
Central nervous system
Thrombocytopenia
Arthritis
Type 1 diabetes
Other autoimmune conditions
Conclusions
References
Chapter 14: Yellow Fever Vaccine and Autoimmunity
Introduction
Yellow fever vaccine
Conclusions
References
Chapter 15: Antiphospholipid Syndrome and Vaccines
Introduction
β2GPI and anti-β2GPI antibodies in APS
APS and tetanus toxoid vaccine
Conclusions
References
Chapter 16: Hepatitis B Vaccination and Autoimmunity
Introduction
Hepatitis B virus
Hepatitis B vaccine
Conclusions
References
Chapter 17: Adverse Reactions to Human Papillomavirus Vaccines
Introduction
Pre- and post-licensure overall safety data
Long onset of autoimmunity post-vaccination
Possible mechanisms of HPV vaccine-induced autoimmunity
Conclusions
Acknowledgments
References
Chapter 18: Influenza Vaccine and Autoimmune Diseases
Introduction
Influenza and the immune system
Influenza, vaccination, and pregnancy
Influenza, vaccination, and autoimmune rheumatic diseases
Influenza, vaccination, and underlaying conditions
Influenza vaccine and autoimmunity
Post-influenza vaccination syndrome: clinical spectrum
Conclusions
References
Chapter 19: Vaccines and Autoimmunity: Meningococcal Vaccines
Introduction
N. meningitidis
Vaccines
Conclusions
References
Chapter 20: Pneumococcal Vaccines and Autoimmune Phenomena
Introduction
Pneumococcal vaccine safety
Methods
Results
Discussion
References
Chapter 21: BCG and Autoimmunity
Introduction
Immune mechanisms of BCG
Clinical applications of BCG
Autoimmune phenomena produced by BCG
BCG vaccination in autoimmune diseases
References
Part III: Autoimmune Diseases Solicited by Vaccination
Chapter 22: Systemic Lupus Erythematosus Induced by Vaccines
Introduction
Vaccination-induced systemic lupus erythematosus or lupus-like syndromes
Autoimmune/inflammatory syndrome induced by adjuvants (ASIA)
References
Chapter 23: Vasculitides
Introduction
Vasculitides following vaccinations: plausible mechanisms
Clinical evidence from the literature
Conclusions
References
Chapter 24: Vaccinations in Rheumatoid Arthritis
Pathogenesis of rheumatoid arthritis
Do vaccinations induce RA?
Vaccines in RA therapy
References
Chapter 25: Undifferentiated Connective-Tissue Diseases
Introduction
Classification criteria
Course of UCTD
Conclusions
References
Chapter 26: Vaccines, Infections, and Alopecia Areata
Introduction
Epidemiology
Clinical manifestations
Pathogenesis
Vaccines and AA
Conclusions
References
Chapter 27: Aluminum Particle Biopersistence, Systemic Transport, and Long-Term Safety: Macrophagic Myofasciitis and Beyond
Introduction
Alum particles as lysosome-destabilizing adjuvants
MMF and alum biopersistence
MMF and myalgic encephalomyelitis/chronic fatigue syndrome
Phagocytes and systemic diffusion of aluminum particles
Beyond MMF: the ASIA concept
Alum safety in the long term
References
Chapter 28: Immune Thrombocytopenic Purpura: Between Infections and Vaccinations
Definition and epidemiology
Pathogenesis
Infectious agents and the onset of ITP: the role of
Helicobacter pylori
Vaccines and ITP
Conclusions
References
Chapter 29: Vaccinations and Type 1 Diabetes
Introduction
Type 1 diabetes
Vaccination and diabetes in childhood
BCG and T1D
Vaccine and T1D in adults
Conclusions
References
Chapter 30: Narcolepsy and H1N1 vaccine
Introduction
Orexin and sleep
Genetic factors
Environmental factors
H1N1 vaccination
Is the adjuvant the clue?
Conclusions
References
Chapter 31: Non-nutritional Environmental Factors Associated with Celiac Disease: Infections and Vaccinations
Introduction
Infections and CD
ASIA
Vaccination and CD
Rotavirus and CD
Conclusions
References
Chapter 32: Polymyalgia Rheumatica
Introduction
PMR following vaccination: evidence from the literature
Conclusions
References
Chapter 33: Acute Disseminated Encephalomyelitis: Idiopathic, Post-infectious, and Post-vaccination
Definition and diagnostic characteristics
Epidemiology
Diagnostic criteria/clinical features
Paraclinical tests for diagnosis
Pathogenesis
Immunological mechanisms
Neuropathology
Treatment
Prognosis
Post-vaccination ADEM
Conclusions
References
Chapter 34: Fibromyalgia, Chronic Fatigue, Functional Disorders, and Vaccination: Where Do We Stand?
Introduction
Gulf War syndrome and vaccination
Vaccinations and chronic fatigue
What about the ASIA syndrome?
Conclusions
References
Chapter 35: Bullous Dermatoses, Infectious Agents, and Vaccines
Introduction
Epidemiology
Clinical manifestations
Pathogenesis
Vaccines and BP
Vaccines and PV
Conclusions
References
Chapter 36: Infections, Vaccinations, and Chronic Fatigue Syndrome
Introduction
Etiology
Vaccinations and CFS
References
Chapter 37: Myositis and Vaccines
Introduction
Pathogenesis of myositis
Vaccination and loss of tolerance
Myositis associated with vaccines
Vaccines associated with myositis
Conclusions
References
Index
End User License Agreement
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Cover
Table of Contents
Introduction
Begin Reading
Chapter 6: Genetics and Vaccinology
Figure 6.1 Map of the human HLA. The region is conventionally divided into three subregions: the class I, II, and III regions. Each contains numerous genes – only a few of the most relevant are shown here. Abbreviations:
TAPBP
, Tapasin;
LMP1
and
LMP2
, large multifunctional proteases 1 and 2;
TAP1
and
TAP2
, transporter associated with antigen processing 1 and 2;
C2
,
C4A
, and
C4B
, complement components 2, 4A, and 4B;
BF
, complement factor B;
HSPA1A
and
HSPA1B
, heat-shock protein 1A A-type and B-type;
HSPA1L
, heat-shock protein 1A-like;
LTA
and
LTB
, lymphotoxins A and B;
TNFA
, tumor necrosis factor α; and
MICA
and
MICB
, major histocompatibility complex class I chain genes A and B.
Figure 6.2 Antigen processing by HLA class I and II molecules. (a) Class I antigen processing and presentation occurs when proteins in the cytosol are degraded by the proteosome into small peptides and then are transported by transporter associated with antigen processing (TAP) into the endoplasmic reticulum (ER) lumen. HLA class I molecules are synthesized, translocated, and assembled into the lumen of the ER, where they load the peptide; HLA class I–peptide complexes then leave the ER and move through the Golgi apparatus to the plasma membrane, where they present the joined peptide to the T cell receptor (TCR) of CD8
+
T cells. (b) Class II presentation occurs when extracellular proteins are phagocytized and then degraded into small peptides. These peptides are then sorted into vesicles, where they interact with the HLA class II molecules. HLA class II α and β chains, class II-associated invariant peptide (CLIP), and the invariant chain (Ii) molecules are located and assembled in the lumen of the ER, where they cannot bind peptides because the complex occupies the peptide-binding site. Heterotrimers leave the ER and pass through the Golgi apparatus to fuse with vesicles. The Ii is degraded and, with the help of HLA-DM and HLA-DO, a peptide can be joined. Complexes of HLA class II and peptide are relocated to the plasma membrane, where they can be recognized by CD4
+
T cells.
Chapter 9: Autoantibodies Induced by Vaccine
Figure 9.1 Mean values of IgG aCL before and 1 and 6 months after influenza vaccination in patients with juvenile idiopathic arthritis (JIA). The difference between the mean values of IgG aCL before and 6 months after the vaccination was not statistically significant (p = 0.05) (Author's unpublished data). aCL, anticardiolipin antibodies; AU, arbitrary units; 1, sample before vaccination; 2, sample 1 months after vaccination; 3, sample 6 months after vaccination.
Chapter 15: Antiphospholipid Syndrome and Vaccines
Figure 15.1 Homology between β2GP1-related peptide and TTd.
Figure 15.2 Active immunization of mice with TTd induces anti-β2GPI antibodies. The anti-β2GPI antibodies, when passively infused into another set of naive mice, induce experimental APS.
Figure 15.3 Molecular mimicry between β2GPI and TTd.
Chapter 21: BCG and Autoimmunity
Figure 21.1 Summary of the main pathogenetic mechanisms correlated with BCG vaccination or intravescical BCG immunotherapy for bladder cancer, as well as the possible BCG-driven autoimmune disorders. *Crossreaction between the BCG heat-shock protein HSP65 and the cartilage proteoglycan link protein represents one example of a possible molecular mimicry pathogenetic mechanism.
Chapter 30: Narcolepsy and H1N1 vaccine
Figure 30.1 Histopathological changes induced by narcolepsy IgG. Coronal brain sections through the hypothalamus from mice injected ICV with IgG from narcolepsy patients and from healthy controls were stained for neuronal marker (NeuN) (a–d), synaptic marker (synaptophysin) (e–h), and orexin-expressing neurons (prepro-orexin) (i–l). (a,b,e,f,i,j) Representative images from control mice injected with control-IgG. (c,d,g,h,k,l) Representative images from mice injected with narcolepsy IgG. First- and third-column images are at 10× magnification and scale bar 200 µm. Second- and forth-column images are at 40× magnification and scale bar 50 µm. Reprinted from Katzav, A., Arango, M.T., Kivity, S.,
et al.
(2013). Passive transfer of narcolepsy: anti-TRIB2 autoantibody positive patient IgG causes hypothalamic orexin neuron loss and sleep attacks in mice.
J Autoimmun
,
45
: 24–30. Copyright (2013), with permission from Elsevier.
Figure 30.2 Possible pathway for H1N1 seasonal infection and Pandemrix vaccination in the onset of narcolepsy. The seasonal H1N1 influenza infection or Pandemrix vaccine could stimulate autoreactive T or B cells targeting orexin, producing neurons through the disruption of the BBB as a consequence of adverse vaccine events, such as fever, and by several other mechanisms. (i) Molecular mimicry of T cells. This describes the activation of crossreactive T cells that recognize the H1N1 epitope and then migrate to the CNS, where they recognize an antigen specific to orexin-producing neurons (crossreactivity). Activation of crossreactive T cells results in the release of cytokines and chemokines, which recruit and activate macrophages, mediating self-tissue damage. The subsequent release of orexin self-antigen and its uptake by antigen-presenting cells (APCs) perpetuates narcolepsy. (ii) Crosslink of the MHC and TCR molecules and activation of the cytotoxic T cells, which are autoreactive and specific towards orexin-producing neurons, by H1N1 antigens or Pandemrix vaccine. (iii) Molecular mimicry involving B cells and antibody-mediated disease. This could target TRIB2 as a crossreactive antigen. It would require signals from activated T cells (T cell help). (iv) Bystander activation of resting autoreactive B and T cells. This could result from general immune activation, independent of specific antigens. Current results in narcolepsy research point towards a T cell mechanism. Abbreviations: APC, antigen-presenting cell; BBB, blood–brain barrier; CNS, central nervous system; H1N1, H1N1 influenza A virus or epitopes from adjuvant vaccines; MHC, major histocompatibility complex; TCR, T cell receptor; TRIB2, Tribbles homolog 2. Reprinted and modified from Singh, A.K., Mahlios, J., and Mignot, E. (2013). Genetic association, seasonal infections and autoimmune basis of narcolepsy.
J Autoimmun
,
43
: 26–36. Copyright (2013) with permission from Elsevier.
Introduction
Table I.1 Typical pediatric vaccine schedule for preschool children currently recommended by the US Centers for Disease Control and Prevention (2013a). Shaded boxes indicate the age range in which the vaccine can be given. Asterisks denote Al-adjuvanted vaccines. Hep A is given in 2 doses spaced at least 6 months apart. According to this schedule, by the time a child is 2 years of age, they would have received 27 vaccinations (3 × HepB, 3 × Rota, 4 × DTaP, 4 × Hib, 4 × PCV, 3 × IPV, 2 × Influenza, 1 × MMR, 1 × Varicella, and 2 × HepA)
Table I.2 Complete list of vaccine ingredients (i.e., adjuvants and preservatives) and substances used during the manufacture of commonly used vaccines. Adapted from US Centers for Disease Control and Prevention (2013b)
Chapter 1: Role of Adjuvants in Infection and Autoimmunity
Table 1.1 Adjuvants exert their immunological effect by different modes of action. Schijns, V. E. Immunological concepts of vaccine adjuvant activity.
Curr Opin Immunol
12(4): 456–63. Copyright © 2000, Elsevier
Table 1.2 Adjuvant involvement in autoimmune manifestation
Table 1.3 Adjuvants in human vaccines. Reed, S. G., S. Bertholet, et al. New horizons in adjuvants for vaccine development.
Trends Immunol
30(1): 23–32. Copyright © 2009, Elsevier
Table 1.4 Adjuvants in development
Chapter 3: Experimental Models of Adjuvants
Table 3.1 Autoimmune and inflammatory manifestations in animal models induced by different adjuvants
Chapter 4: Answers to Common Misconceptions Regarding the Toxicity of Aluminum Adjuvants in Vaccines
Table 4.1 Autoimmune demyelinating diseases associated with Al-adjuvanted vaccines
Chapter 5: Allergy and Autoimmunity Caused by Metals: A Unifying Concept
Table 5.1 Lymphocyte responses in LTT-MELISA to thimerosal and other metals in patients with side effects following exposure to thimerosal-containing products
Chapter 6: Genetics and Vaccinology
Table 6.1 Approaches to vaccine design in the pre-genomic era: application of Pasteur's principles. Serruto, D. and Rappuoli, R. Post-genomic vaccine development.
FEBS Lett
580(12): 2985–2992. Copyright © 2006, Elsevier
Table 6.2 Comparison between traditional and reverse vaccinology. Sette, A. and Rappuoli, R. Reverse vaccinology: developing vaccines in the era of genomics.
Immunity
33(4): 530–541. Copyright © 2010, Elsevier
Chapter 8: Silicone Breast Implants and Autoimmune/Inflammatory Syndrome induced by Adjuvants (ASIA): A Literature Search
Table 8.1 Major and minor criteria proposed for the ASIA syndrome. Shoenfeld, Y. and N. Agmon-Levin. ASIA- autoimmune/inflammatory Syndrome Induced by Adjuvants.
Journal of Autoimmunity
36 (1): 4–8. Copyright © 2011, Elsevier
Chapter 9: Autoantibodies Induced by Vaccine
Table 9.1 Reported induction of autoantibodies following various vaccinations in selected apparently healthy persons
Table 9.2 Reported induction of autoantibodies following various vaccinations in selected patients with autoimmune diseases
Chapter 11: Vaccination in Autoimmune Diseases
Table 11.1 Vaccine card recommendation by age for adult patients with autoimmune rheumatic diseases (ARDs)
Chapter 12: Vaccination in Patients with Autoimmune Inflammatory Rheumatic Diseases
Table 12.1 Recommendations for vaccination in adult patients with AIRD, showing level of evidence, strength of recommendation, and results of Delphi voting for each. Strength of recommendations is graded in categories A–D, evidence in categories I–IV. van Assen S et al. Humoral responses after influenza vaccination are severely reduced in patients with rheumatoid arthritis treated with rituximab. Arthritis Rheum 62:75–81. Copyright © 2010, John Wiley & Sons, Inc
Table 12.2 Summary of the main studies evaluating the efficacy and safety of influenza, pneumococcal, HVB, tetanus, and HPV vaccines
Chapter 13: Measles, Mumps, and Rubella Vaccine: A Triad to Autoimmunity
Table 13.1 Autoimmune manifestations following measles, mumps, and rubella (MMR) vaccination
Chapter 14: Yellow Fever Vaccine and Autoimmunity
Table 14.1 Patients demographics and disease characteristics. Adapted from Mota
et al.
(2009)
Table 14.2 Characteristics of patients who suffered adverse events following YF vaccination. Adapted from Mota
et al.
(2009)
Table 14.3 Serologic respone before and after YF revaccination (values indicated by number). Scheinberg, M. Yellow fever revaccination during infliximab therapy. Arthritis Care Res (Hoboken). Jun;62(6):896–8. Copyright © 2010, John Wiley & Sons, Inc
Chapter 16: Hepatitis B Vaccination and Autoimmunity
Table 16.1 Autoimmune reactions associated with hepatitis B vaccine (HBVacc). Many of the entries are based solely on case reports, and the evidence is not strong, but larger studies have been conducted in relation to some other conditions. Please see the text for more in-depth discussion
Table 16.2 Potential pathogenetic mechanisms inducing HBVacc-related autoimmunity. Mechanisms are given as either working hypotheses (WH) or experimental data (ED)
Chapter 17: Adverse Reactions to Human Papillomavirus Vaccines
Table 17.1 Age-adjusted rate of ADRs related to HPV compared with all other vaccines in the United States reported to VAERS as of 12 September 2013. The VAERS Internet database (USVAERS) was searched using the following criteria: (i) Vaccine Products: HPV4 (human papillomavirus types 6,11,16,18), HPV2 (human papillomavirus bivalent), HPVX (human papillomavirus vaccine unspecified), and All Vaccine Products; (ii) Gender: Female; (iii) Age: 6–29 Years, the target age group for HPV vaccines; (iv) Territory: All Locations; and (v) Date Vaccinated: January 2007–September 2013, the HPV vaccine post-licensure period
Table 17.2 Summary of cases of autoimmune and inflammatory-like manifestations following HPV vaccination
Chapter 18: Influenza Vaccine and Autoimmune Diseases
Table 18.1 Clinical spectrum of post-influenza vaccination syndrome
Chapter 19: Vaccines and Autoimmunity: Meningococcal Vaccines
Table 19.1 Guillain–Barré syndrome (GBS) in five recipients of MCV4 in 2005
Chapter 20: Pneumococcal Vaccines and Autoimmune Phenomena
Table 20.1 Report cases of autoimmunity following pneumococcal vaccination
Chapter 21: BCG and Autoimmunity
Table 21.1 Clinical applications of BCG. Aside from its current use in vaccination against tuberculosis and leprosy, BCG has been proposed as a possible immunotherapy treatment in both neoplastic and autoimmune diseases
Chapter 22: Systemic Lupus Erythematosus Induced by Vaccines
Table 22.1 Quantities of aluminum in vaccines (Grabenstein, 2013)
Table 22.2 Association between vaccines and SLE
Chapter 23: Vasculitides
Table 23.1 Vasculitides of large vessels following different types of vaccinations: summary of cases detected in the literature (source: PubMed/Medline)
Table 23.2 ANCA-associated vasculitides following different types of vaccinations: summary of cases detected in literature (source: PubMed/Medline)
Chapter 24: Vaccinations in Rheumatoid Arthritis
Table 24.1 Summary of the efficacy and safety of vaccines in RA patients, and recommendations for their use
Chapter 25: Undifferentiated Connective-Tissue Diseases
Table 25.1 Patients who do not fulfill classification criteria (Doria
et al.
, 2005)
Table 25.2 Clinical manifestations and autoantibody reactivities that may be considered specific for a definite CTD (Doria
et al.
, 2005)
Table 25.3 Clinical manifestations and laboratory tests predictive of evolution to a specific CTD
Table 25.4 Prevalence of typical signs and symptoms in ASIA and UCTD (Perricone and Shoenfeld, 2013)
Chapter 26: Vaccines, Infections, and Alopecia Areata
Table 26.1 Summary of AA cases following vaccination
Chapter 28: Immune Thrombocytopenic Purpura: Between Infections and Vaccinations
Table 28.1 Infectious agents associated with ITP onset
Table 28.2 Association between influenza vaccine and ITP
Table 28.3 Incidence or prevalence of ITP following vaccination
Chapter 30: Narcolepsy and H1N1 vaccine
Table 30.1 Commercial H1N1 vaccines authorized for use in the 2009 pandemic by the European Centre for Disease Prevention and Control. Adapted from ECDC (2009) and GSK (2009)
Chapter 31: Non-nutritional Environmental Factors Associated with Celiac Disease: Infections and Vaccinations
Table 31.1 Associations between the infectome and celiac disease (CD)
Table 31.2 Pathogens associated with celiac disease: pros and cons
Chapter 32: Polymyalgia Rheumatica
Table 32.1 Clinical findings of cases of PMR following vaccination – isolated or in association with giant cell arteritis GCA – reported in the literature. The brands of administered vaccines and HLA typing are recorded where available. Adapted from Soriano
et al.
(2012b)
Chapter 33: Acute Disseminated Encephalomyelitis: Idiopathic, Post-infectious, and Post-vaccination
Table 33.1 Differential features of ADEM and MS
Table 33.2 Cases of post-vaccination ADEM reported in the literature
Chapter 35: Bullous Dermatoses, Infectious Agents, and Vaccines
Table 35.1 Summary of BP cases following vaccination in adults
Table 35.2 Summary of BP cases following vaccination in children
Chapter 37: Myositis and Vaccines
Table 37.1 Dermatomyositis (DM) cases related to vaccines
Table 37.2 Polymiositis (PM) cases related to vaccines
Edited By
Zabludowicz Center for Autoimmune Diseases
Sheba Medical Center
Tel Hashomer, Israel
Sackler Faculty of Medicine
Tel Aviv University
Tel Aviv, Israel
Zabludowicz Center for Autoimmune Diseases
Sheba Medical Center
Tel Hashomer, Israel
Sackler Faculty of Medicine
Tel Aviv University
Tel Aviv, Israel
Neural Dynamics Research Group
University of British Columbia
Vancouver, BC, Canada
Copyright © 2015 by Wiley-Blackwell. All rights reserved
Published by John Wiley & Sons, Inc., Hoboken, New Jersey
Published simultaneously in Canada
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Library of Congress Cataloging-in-Publication Data:
Vaccines and autoimmunity / edited by Yehuda Shoenfeld, Nancy Agmon-Levin and Lucija Tomljenovic.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-66343-1 (cloth)
I. Shoenfeld, Yehuda, editor. II. Agmon-Levin, Nancy, editor. III. Tomljenovic, Lucija, editor.
[DNLM: 1. Vaccines–immunology. 2. Adjuvants, Immunologic–adverse effects. 3. Autoimmunity. 4. Drug Discovery. 5. Vaccines–adverse effects. QW 805]
RA638
615.3′72–dc23
2015006774
Jacob N. Ablin
Department of Rheumatology
Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine
Tel Aviv University
Tel Aviv, Israel
Nancy Agmon-Levin
Zabludowicz Center for Autoimmune Diseases
Sheba Medical Center
Tel Hashomer, Israel
Sackler Faculty of Medicine
Tel Aviv University
Tel Aviv, Israel
Howard Amital
Department of Medicine B
Sheba Medical Center
Tel Hashomer, Israel
Sackler Faculty of Medicine
Tel Aviv University
Tel Aviv, Israel
Juan-Manuel Anaya
Center for Autoimmune Diseases Research (CREA)
School of Medicine and Health Sciences
Del Rosario University
Bogotá, Colombia
Alessandro Antonelli
Department of Clinical and Experimental Medicine
University of Pisa
Pisa, Italy
María-Teresa Arango
Zabludowicz Center for Autoimmune Diseases
Sheba Medical Center
Tel Hashomer, Israel
Doctoral Program in Biomedical Sciences
Del Rosario University
Bogotá, Colombia
François-Jérôme Authier
Faculty of Medicine
University of Paris East
Paris France
Neuromuscular Center
H. Mondor Hospital
Paris, France
Tadej Avčin
Department of Allergology
Rheumatology and Clinical Immunology
University Children's Hospital
University Medical Centre Ljubljana
Ljubljana, Slovenia
Nicola Bassi
Division of Rheumatology
Department of Medicine
University of Padua
Padua, Italy
Sharon Baum
Department of Dermatology
Sheba Medical Center
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
Lesen Sie weiter in der vollständigen Ausgabe!
