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A 53-year-old man presented with acute loss of vision, negative scotoma and dyschromatopsia in his left eye. He reported contact with people with severe respiratory syndrome -coronavirus-2 (SARS-CoV-2) 8 days prior symptoms. Funduscopic examination revealed several retinal hemorrhages. Spectral-domain optical coherence tomography showed lesions consistent with acute macular neuroretinopathy and paracentral acute middle maculopathy. Quickly after his presentation, SARSCov-2 was confirmed by chest computed tomography-scan and RT-PCR in this patient. Thrombotic complications associated with Covid-19 infection have high incidence and may involve the retina. We described a case of retinal involvement associated with Covid-19 infection. Précis: Funduscopic examination revealed retinal hemorrhages in a man with loss of vision. Optical coherence tomography showed an acute macular neuroretinopathy and paracentral acute middle maculopathy. Coronavirus disease was confirmed by chest computed tomography-scan and RT-PCR.
Highlights d BTN2A1 expression in cancer cells correlates with Vg9Vd2 T cell cytotoxicity d BTN2A1 interacts with BTN3A1/3A2/3A3, leading to enhanced plasma membrane export d B30.2 domains of both BTN3A1 and BTN2A1 are required for pAg responsiveness d Anti-BTN2A1 mAbs blocking Vg9Vd2TCR binding antagonize Vg9Vd2 T cell cytotoxicity
Severe coronavirus disease 2019 , due to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), may be associated with mild thrombocytopenia, 1,2 and some COVID-19-induced immune thrombocytopenia (ITP) cases have been reported. 3,4 Some reports suggest that patients with pre-existing ITP may experience a relapse 5 in the case of SARS-CoV-2 infection that could be prevented by vaccination. However, a growing number of de novo ITP occurring after anti-SARS-CoV-2 vaccination are being reported with mRNA-based vaccines. In a recent series, 6 20 patients who received either BNT162b2 (Comirnaty â ) or mRNA-1273 (SpikeVax â ) vaccines had new-onset thrombocytopenia after the first injection (median time: 5 days), usually associated with bleeding and low platelet counts (median: 2 9 10 9 /l). The incidence of vaccine-induced thrombocytopenia remains difficult to assess precisely as no routine blood count is recommended after vaccination. However, it appears very low, with >20 million people vaccinated in the United States with at least one dose at the time this paper 6 was submitted. However, whether patients with ITP have a risk of relapse after anti-SARS-CoV-2 vaccination remains a matter of debate. In France, the National Reference Centre for Adult Immune Cytopenia proposed that anti-SARS-CoV-2 vaccination should be considered in patients with ITP and that a platelet count should be obtained 1 week after each vaccine injection in order to detect ITP relapse. In the present study, we assessed the evolution of a cohort of patients with ITP that received anti-SARS-CoV-2 vaccination.We conducted an observational study in four French referral centres from January 2021 to June 2021. Inclusion criteria were patients aged >18 years with a previous ITP diagnosis (primary or secondary) according to international criteria 7 and receiving at least one anti-SARS-CoV-2 vaccine injection. All these patients were already enrolled in the prospective CARMEN-France registry and were not opposed to real-world data collection about ITP management. All clinical and biological data used in the present study were already recorded in the registry (authorisation number 2012-438 from the French national agency regulating data protection).From January to June 2021, 92 adult patients with ITP (55 women, 59Á8%), with a median [interquartile range (IQR), range] age of 69 [19, years (Table SI) were selected. In all, 78 patients had primary ITP (85%), and two had a history of COVID-19-associated ITP 1 year previously. At the time of first vaccine dose, the median (IQR, range)
Activation of the tissue factor-dependent extrinsic pathway and its relation to JAK2 V617F mutation status in patients with essential thrombocythemia. Blood Coagul Fibrinolysis. 2016;27(7): 817-821. 9. Maugeri N, Giordano G, Petrilli MP, et al. Inhibition of tissue factor expression by hydroxyurea in polymorphonuclear leukocytes from patients with myeloproliferative disorders: a new effect for an old drug?
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