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Lichen planus flare following COVID‐19 vaccination: A case report
Authors:Astrid Herzum  Martina Burlando  Mattia F. Molle  Claudia Micalizzi  Emanuele Cozzani  Aurora Parodi
Affiliation:1. Department of Dermatology, Di.S.Sal, San Martino Polyclinic Hospital IRCCS, University of Genoa, Genoa Italy
Abstract:We report the third case of cutaneous lichen planus (LP) following COVID‐19 BNT162b2 vaccination in a 59‐year‐old woman with previous LP. The reactivation of LP in patients with dormant LP suggests a possible vaccine‐induced immune dysregulation. We suggest that the already described vaccine‐induced upregulation of Th1 response may play a relevant role in LP reactivation, through an increase in inflammatory cytokines involved in the pathogenesis of LP. Interestingly, LP has already been associated with vaccinations and viral infections including COVID‐19 disease. However, the exact mechanism underlying LP (re)activation after Pfizer‐BiotNtech COVID‐19 vaccination is still widely unknown and needs to be further investigated.
Keywords:COVID‐  19 cutaneous, COVID‐  19   skin, COVID‐  19 vaccination, COVID‐  19 vaccine, lichen planus
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