Safety and efficacy of SARS-CoV-2 vaccination in patients with immune thrombocytopenia: A two-centre review

Br J Haematol. 2024 Jan;204(1):324-328. doi: 10.1111/bjh.19212. Epub 2023 Nov 27.

Abstract

Multiple studies have reported immune thrombocytopenia (ITP) relapse following SARS-CoV-2 vaccination, however baseline ITP relapse rate and antibody response to vaccination are not known. Patients with ITP who received at least one of the first three SARS-CoV-2 vaccination doses were included in the study. One hundred and twenty-four patients met the inclusion criteria. Relapse rate was 4.2% following a first vaccine dose, 9.1% after a second and 2.9% after a third; baseline relapse rate was 7.6%. Ninety-four per cent of patients who received three vaccine doses developed a clinical antibody response. SARS-CoV-2 vaccination appears to be safe and effective in patients with ITP.

Keywords: COVID-19; ITP; antibodies; vaccines.

MeSH terms

  • Antibodies, Viral
  • COVID-19 Vaccines* / adverse effects
  • COVID-19* / prevention & control
  • Humans
  • Purpura, Thrombocytopenic, Idiopathic* / complications
  • Recurrence
  • Vaccination

Substances

  • Antibodies, Viral
  • COVID-19 Vaccines