打完莫德納與輝瑞BNT這類mRNA新冠疫苗是否會引發帶狀皰疹?

7/21/2021 0 評論

打完莫德納與輝瑞BNT這類mRNA新冠疫苗是否會引發帶狀皰疹?

文/ 北醫美容醫學中心主任張宜菁醫師

病人在打完莫德納疫苗數天後、手指長出疼痛的水泡。將水泡內的細胞化驗後，我們確認了"帶狀皰疹"的診斷。

病人問: mRNA新冠疫苗是否會引發帶狀皰疹嗎？
答案是：#目前沒有足夠證據證實其關連性！

目前醫學界的觀察與了解有多少?

以色列的研究發現，491位BNT疫苗的接種者（皆為免疫風溼科患者）有5名在打完第一劑、1名在打完第二劑後得到了帶狀皰疹。後來其中4名患者也順利完成第二劑的注射。

國外也有專家觀察，在新冠肺炎流行的時期，帶狀皰疹的發生率是上升的。

A型肝炎、日本腦炎、流感、狂犬病等其他疫苗，也曾被報告與帶狀皰疹有關。

年紀大、或某些疾病與藥物，會降低人體的細胞免疫功能，而讓帶狀皰疹的發作機率升高。但mRNA 新冠疫苗會增強細胞與抗體免疫力。

因此，新冠疫苗與帶狀皰疹之間的關聯性尚未證實，還有待更多研究進行了解。建議民眾不要因此過度擔憂，而錯失打疫苗保護自己的機會。

什麼是帶狀皰疹呢（俗稱皮蛇）?

第一次感染"水痘病毒"痊癒後，病毒可長年潛伏在身體裡。

等日後復發時，即"帶狀皰疹"。症狀常為沿著身體神經節發展的單側疼痛與搔癢的水泡。

帶狀皰疹需盡早治療，盡量控制好感染與減低併發症，例如長期皰疹後神經疼痛等。

帶狀皰疹有兩種疫苗，台灣引進的是減毒疫苗、歐美等國家還有重組疫苗可以施打。

（減毒疫苗一般建議與新冠疫苗間隔28天以上施打）

帶狀皰疹與帶狀皰疹疫苗延伸閱讀：

我該打帶狀皰疹疫苗嗎? 什麼是帶狀皰疹? 全文連結: https://www.changskinlaser.com/30382331783014230149/8361825

參考文獻 :

Rheumatology (Oxford). Published online April 12, 2021. doi:10.1093/rheumatology/keab345
Dermatol Ther (Heidelb)
https://doi.org/10.1007/s13555-021-00549-1

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美容醫學療程效果因人而異，術後可能有風險與副作用。術前請諮詢專業醫師，並注重術後照護。

雷射等美容醫學光電療程術後可能有皮膚紅腫、黑色素沉澱、單純皰疹復發、灼傷等副作用

電波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、燙傷、疤痕、單純泡疹復發等副作用。

音波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、神經麻痺、燙傷、疤痕、單純泡疹復發等副作用。

玻尿酸填充劑注射術後可能有瘀青、紅腫、局部腫塊、單純泡疹復發、皮膚壞死、感染等副作用。

肉毒桿菌素注射術後可能有表情不自然、頭痛、眉形改變、眼皮下垂等副作用

倍克脂注射術後可能有瘀青、腫脹、疼痛、毛髮脫落、吞嚥困難、皮膚局部壞死、感染、神經受傷等副作用。

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