纽约时报新闻，又有两起疫苗后血小板减少到零的病例

https://www.nytimes.com/2021/02/08/health/immune-thrombocytopenia-covid-vaccine-blood.html

Hematologists with expertise in treating immune thrombocytopenia said they suspected that the vaccine did play a role. But they said that cases after vaccination were likely to be exceedingly rare, possibly the result of an unknown predisposition in some people to react to the vaccine by developing an immune response that destroys their platelets. The disorder has occurred, rarely, in people who received other inoculations, particularly the measles-mumps-rubella one.

In its most common form, immune thrombocytopenia is an autoimmune disease that affects about 50,000 people in the United States, according to a support group for patients. The condition develops when the immune system attacks platelets or the cells that create them, for unknown reasons. It sometimes follows a viral illness, and can persist for months or become chronic and last for years. It is generally treatable. Professional groups have advised that patients with the disorder be vaccinated for Covid, but after consulting with their hematologists.

所有跟帖： 

• 看来疫苗诱发的血小板减少是真的。两个病人的认识令人敬佩。 -吃与活- ♂ (0 bytes) () 02/08/2021 postreply 20:37:14

• 这是第二次报道了，新冠疫苗接种造成15例有血小板异常病史的人血小板减少，因果关系提示比较明显。 -杨别青- ♂ (0 bytes) () 02/08/2021 postreply 21:21:25

• 有血小板问题的人应该等新冠蛋白疫苗 -杨别青- ♂ (0 bytes) () 02/08/2021 postreply 22:19:45

• 哪个公司在做新冠蛋白疫苗？ -日月茗- ♀ (0 bytes) () 02/08/2021 postreply 23:11:16

• Novavax目前在进行临床三期试验，纳米蛋白疫苗 -杨别青- ♂ (0 bytes) () 02/09/2021 postreply 05:53:59

• 记得好几次烈性传染性病毒疫情，都有“病毒性出血热”（血小板减少）比如Ebola virus。 -pickshell- ♀ (115 bytes) () 02/08/2021 postreply 21:40:08

• Ebola出血热的情况比ITP更复杂， 有DIC 等很多情况。。。， 哭 -志在千里- ♀ (0 bytes) () 02/08/2021 postreply 22:17:45

• 疫苗怎么会引发这个? 说实在想不通啊，是不是原本就患有什么病？应查查病史。 -pickshell- ♀ (198 bytes) () 02/09/2021 postreply 05:02:59

• 提示病毒可能引发异常免疫 -杨别青- ♂ (0 bytes) () 02/09/2021 postreply 05:56:12

• 不是mRNA不是病毒吗？ -Blue_Snow- ♀ (0 bytes) () 02/09/2021 postreply 06:04:44

• 不同的原因，病毒疫苗和mRNA疫苗都与ITP相关 -杨别青- ♂ (0 bytes) () 02/09/2021 postreply 06:18:40

• 谢谢分享！已经有36例ITP了。儿童打MMR也有ITP，那是减活疫苗。但小朋友血小板很少到O, 用IVIG血小板反弹厉害 -志在千里- ♀ (6865 bytes) () 02/08/2021 postreply 21:44:56

• 36例ITP都是与COVID-19 疫苗相关吗？ -杨别青- ♂ (0 bytes) () 02/08/2021 postreply 21:56:44

• 楼主的纽时文章里有连接 -志在千里- ♀ (361 bytes) () 02/08/2021 postreply 22:15:36

• 看到了，大概百万人一个得ITP病，比MMR引发的几率要低，后者10万人中1-2个 -杨别青- ♂ (0 bytes) () 02/08/2021 postreply 22:23:31

• 注意到这段文字 -TBz- ♂ (1156 bytes) () 02/08/2021 postreply 22:24:47

• 相关性应该采用不同的关联算法， -杨别青- ♂ (0 bytes) () 02/08/2021 postreply 22:39:10

• 这是新闻报道的解释 -Blue_Snow- ♀ (0 bytes) () 02/09/2021 postreply 04:47:16

• James Bussel医师收集了15个打新冠疫苗后患ITP的病例，写文章警告和帮助医患，也是英雄。 -志在千里- ♀ (293 bytes) () 02/08/2021 postreply 21:51:35

• 疫苗和ITP的关系 ， 提到了三种不同的疫苗，MMR， 流感， Shingles -志在千里- ♀ (1574 bytes) () 02/08/2021 postreply 22:22:54

• 上次佛州去世的医生打的是Pfizer 疫苗，文中这两例打的是Moderna疫苗 -日月茗- ♀ (1248 bytes) () 02/08/2021 postreply 23:27:17

• 关于政府36份类似的案例，能否给一个链接？多谢 -杨别青- ♂ (0 bytes) () 02/09/2021 postreply 06:06:07

• 政府数据库应该就指Vaers 疫苗副作用报告系统。不要跑到CDC去 -Blue_Snow- ♀ (0 bytes) () 02/09/2021 postreply 06:41:13

• 谢谢 -杨别青- ♂ (0 bytes) () 02/09/2021 postreply 07:02:07