Arthritis following combined vaccine against diphtheria, polyomyelitis,and tetanus toxoid
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Arthritis following combined vaccine against diphtheria, polyomyelitis,
and tetanus toxoid
Arthritis following combined vaccine against
diphtheria, polyomyelitis, and tetanus toxoid.
Maillefert JF, Tonolli-Serabian I, Cherasse A, Demoux AL, Tavernier C,
Piroth L.
Department of Rheumatology, Dijon University Hospital, France.
jmaillefert@chu-dijon.fr
We describe 2 cases of arthritis following immunization against diphtheria,
poliomyelitis and tetanus toxoid. One patient developed monoarthritis of the
knee after immunization, that regressed following synovectomy. Five years
later, the arthritis recurred after a booster vaccine injection. One day after
immunization, another patient developed arthritis of the ankle that persisted
for 3 days. It is difficult to know whether there is a coincidental or a causal
relation between immunization and arthritis. Although our cases suggest that
immunization against diphtheria, poliomyelitis and tetanus toxoid may cause
arthritis, additional cases must be reported before studies aimed at confirming
this possibility are considered.
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