Impact of COVID-19 Vaccines on Inflammatory Markers in Patients with Ankylosing Spondylitis
COVID-19 Vaccines and Inflammatory Markers Hello Doctor: I am a patient with ankylosing spondylitis and have been taking Secukinumab for a year. My inflammatory markers were under control, but after receiving the first dose of the BNT vaccine on September 27, I noticed an increas...
Dr. Zeng Guosen Reply:
1) In outpatient experience, there have been cases where inflammation markers worsened after receiving the COVID-19 vaccine, with literature reporting approximately 5%. 2) This has been observed in various rheumatic patients and with different vaccines. 3) The duration of the imp...[Read More] Impact of COVID-19 Vaccines on Inflammatory Markers in Patients with Ankylosing Spondylitis
Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?
Will getting the COVID-19 vaccine worsen the condition of ankylosing spondylitis? Hello Doctor: My child is a patient with ankylosing spondylitis and has been taking Secukinumab for a year. The inflammatory markers have been under control. On September 27, he received the first d...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) In your clinical experience, how common is it for patients with rheumatic diseases to experience worsening conditions after receiving the COVID-19 vaccine? --> I only have personal experience and no national statist...[Read More] Does COVID-19 Vaccination Worsen Ankylosing Spondylitis Symptoms?
Understanding Sjögren's Syndrome: Symptoms, Diagnosis, and Management
Sjögren's syndrome is an autoimmune disease? Hello Doctor, I had an appointment in October and experienced symptoms of dryness. I consulted a rheumatologist, and all my blood tests came back normal, but my condition shows tendencies towards lupus erythematosus. However, I ha...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. There are many causes of dry symptoms, and Sjögren's syndrome is just one of them. While blood tests show "lupus-like phenomena," there is no definitive evidence of Sjögren's syndrome. Typically, we recommend follow-up visit...[Read More] Understanding Sjögren's Syndrome: Symptoms, Diagnosis, and Management
Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Issues in Vaccine Administration Assessment I often feel dizzy due to low blood pressure, and sometimes I experience palpitations. Occasionally, the edges of my lips turn cyanotic at night, and I frequently catch colds, which can lead to nosebleeds. Additionally, I have a history...
Dr. Liao Zhongxin Reply:
1. For recommendations and guidelines on vaccination for immunocompromised patients, please refer to the attachment: https://www.cdc.gov.tw/Category/ListPage/g9rqm1jhIt65b8sr5Vap8w2. The classification of immunocompromised individuals is as follows: 1. Primary immunodeficienc...[Read More] Assessing Vaccine Suitability for Patients with Low Blood Pressure and Allergies
Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Allergy / Dizziness / Lower back pain / Difficulty urinating Hello Doctor, I received the AZ vaccine at the beginning of August, and I did not experience significant side effects during the process. However, in mid-September, I developed an allergic reaction on my palms and the t...
Dr. Lin Wuxuan Reply:
Hello: Based on the symptoms you described, since your discomfort occurred at least 4-5 weeks after the vaccination, it is less likely to be a side effect of the COVID-19 vaccine. The symptoms that began in October are more likely related to a urinary tract infection, so it is re...[Read More] Understanding Post-Vaccine Symptoms: Allergies, Dizziness, and More
Impact of Uterine Fibroids and Thyroid Issues on Pregnancy
Uterine fibroids, hypothyroidism, and significantly elevated thyroid antibodies can impact fertility and pregnancy. Uterine fibroids may affect implantation and the overall pregnancy environment, while hypothyroidism can lead to hormonal imbalances that may interfere with ovulati...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Uterine fibroids can affect pregnancy, but for detailed information, it's best to consult a gynecologist. Although thyroid dysfunction is partially related to immune function, it falls under the specialties of endocrinology or metabolism. A...[Read More] Impact of Uterine Fibroids and Thyroid Issues on Pregnancy
Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Can a patient with confirmed stage 2 syphilis (under treatment) receive the COVID-19 vaccine? Hello Dr. Hong, I recently tested positive for stage 2 syphilis, with relevant indices showing RPR Test 1:64, RPR(L) 485.4, and TPLA 25565. I have chosen not to receive an injection this...
Dr. Hong Yuanbin Reply:
Hello, the treatment for syphilis does not affect vaccines, so it is safe to receive vaccinations. Thank you for your question.[Read More] Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
Medical consultation Hello, doctor. I would like to ask what an ANA titer of 1:160 represents. Does this indicate an autoimmune disease? I also have anemia and palpitations. A doctor previously informed me that it would be dangerous for me to receive the COVID-19 vaccine; is that...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. I have organized and responded to your inquiries as follows: 1. What does an ANA titer of 1:160 represent? Does it indicate an autoimmune disease? --> This is a screening indicator for autoimmune diseases. A higher titer suggests an increa...[Read More] Understanding ANA Test Results and Vaccine Concerns in Autoimmune Conditions
COVID Vaccine and Medication: Can You Take Blood Thinners and Antihistamines?
Vaccine medication consultation Hello, if the timing of receiving the COVID-19 vaccine coincides with my menstrual cycle, can I continue taking Tranexamic Acid as usual within three days after the vaccination (I experience heavy menstrual bleeding and take three tablets a day)? A...
Dr. Lin Jianliang Reply:
Hello: This issue is not within the scope of metabolic medicine; please refer it to the relevant department. Thank you.[Read More] COVID Vaccine and Medication: Can You Take Blood Thinners and Antihistamines?
COVID-19 Vaccine: Should You Pause Antihistamines and Anxiety Meds?
Vaccine medication consultation Hello: I have been taking the antihistamine Levocetirizine (Xyzal) every night due to nasal allergies. Should I stop taking this medication before and after receiving the COVID-19 vaccine? If so, how many days should I stop it before and after? Add...
Dr. Hong Yuanbin Reply:
Hello, antihistamines and autonomic nervous system medications do not affect the efficacy of vaccines, so it is fine to continue taking them. Thank you for your question.[Read More] COVID-19 Vaccine: Should You Pause Antihistamines and Anxiety Meds?
Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...
Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.[Read More] Postpartum Weight Loss: Understanding Health Concerns After Pregnancy
Understanding Mediterranean Anemia: Vaccine Considerations for Patients
Mediterranean anemia Hello Doctor, I would like to ask about an internal medicine issue. Six years ago, during my pregnancy, I underwent prenatal check-ups, and the report values were as follows: average red blood cell count 75.7 (reference value 79-99) and hemoglobin 11.9 (refer...
Dr. Hong Yuanbin Reply:
Hello, based on your blood test report, it is possible that you have either thalassemia or iron deficiency anemia. To determine which type it is, further blood tests are necessary. Regarding vaccines, it does not affect the choice of vaccine brand. Thank you for your inquiry.[Read More] Understanding Mediterranean Anemia: Vaccine Considerations for Patients
COVID-19 Vaccine Injection Concerns: Tetanus and Allergy Considerations
Issues related to COVID-19 vaccination? Hello, doctor. I am inquiring on behalf of a friend regarding COVID-19 vaccination questions. The questions are as follows: 1. If they recently received a tetanus shot (about 2 weeks ago), is it safe to receive the vaccine? 2. They had an a...
Dr. Hong Yuanbin Reply:
Hello, 1. There are currently no relevant international recommendations regarding this matter; however, expert consensus generally suggests that different types of vaccines should be administered at least one month apart for optimal results. 2. It is true that the Moderna vac...[Read More] COVID-19 Vaccine Injection Concerns: Tetanus and Allergy Considerations
Choosing the Right COVID-19 Vaccine for Individuals with Antibody Issues
COVID-19 vaccine I have some questions regarding COVID-19 vaccination. In the past, when I was around 20 years old, I received the hepatitis B vaccine but did not develop antibodies. Last year, after a company health check, someone suggested that I get vaccinated again. At the ag...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The reasons for not producing antibodies after receiving the hepatitis B vaccine include whether the recipient has other chronic illnesses and factors related to individual constitution (gene expression). Research on the ability to produce effec...[Read More] Choosing the Right COVID-19 Vaccine for Individuals with Antibody Issues
Best Over-the-Counter Fever Reducers for COVID Vaccine Recipients
Purchase of antipyretics? Hello, doctor. I am allergic to anti-inflammatory medications such as ibuprofen and aspirin, which cause my eyes to swell. I would like to know which type of fever reducer I can purchase at the pharmacy if I experience a fever after receiving the COVID-1...
Dr. Hong Yuanbin Reply:
Hello, based on your description, you may be allergic to non-steroidal anti-inflammatory drugs (NSAIDs). Acetaminophen would be more suitable for you. Thank you for your inquiry.[Read More] Best Over-the-Counter Fever Reducers for COVID Vaccine Recipients
Is COVID-19 Vaccination Safe for Patients with Allergies and Medications?
COVID-19 vaccination administration Hello, Doctor. 1. I am allergic to anti-inflammatory medications such as ibuprofen and aspirin; taking these medications causes my eyes to swell. 2. I am allergic to dust mites, and I need to take asthma medication whenever I have a common c...
Dr. Hong Yuanbin Reply:
Hello, the three situations you mentioned are not contraindications for the COVID-19 vaccine, nor have they been stated as reasons to avoid vaccination. Thank you for your inquiry.[Read More] Is COVID-19 Vaccination Safe for Patients with Allergies and Medications?
Can Patients with Ankylosing Spondylitis Receive the COVID-19 Vaccine?
Can patients with ankylosing spondylitis receive the COVID-19 vaccine? Hello Dr. Gao: I am a patient with ankylosing spondylitis. I have been treated with a cancer-killing medication for about two years, and my inflammatory markers have now decreased to normal levels. I have stop...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your current medication status, you are eligible to receive the COVID-19 vaccine. If you are continuously taking anti-cancer medication, a temporary adjustment to your medication may be necessary. This message is from the Allergy, Immun...[Read More] Can Patients with Ankylosing Spondylitis Receive the COVID-19 Vaccine?
Is It Safe for Patients with Vasculitis to Get the AZ Vaccine?
Is it suitable for individuals with vasculitis to receive the AZ vaccine? Individuals with a history of vasculitis, which is an autoimmune disease, may have concerns regarding vaccination. Among those advised against receiving the AstraZeneca (AZ) vaccine are individuals with com...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Currently, the Taiwan Society of Rheumatology has reached a consensus and provided recommendations for patients with autoimmune diseases. Of course, these recommendations will continue to be adjusted over time as more evidence accumulates. In pr...[Read More] Is It Safe for Patients with Vasculitis to Get the AZ Vaccine?
Best COVID-19 Vaccines for Patients with Behçet's Disease: Expert Insights
Questions about COVID-19 vaccine administration? Hello, doctor: I would like to ask which COVID-19 vaccines, including domestically produced ones, are currently more suitable for patients with Behçet's disease? Thank you!
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Currently, the Taiwan Society of Rheumatology does not have any specific warnings or alerts for patients with Behçet's disease, and I believe that all vaccines can be administered. However, if your condition is severe, including persistent ...[Read More] Best COVID-19 Vaccines for Patients with Behçet's Disease: Expert Insights
Can a 92-Year-Old with Arrhythmia Safely Receive the AZ COVID Vaccine?
A 92-year-old patient with arrhythmia receiving the COVID-19 vaccine? Hello Dr. Hong: My father is scheduled to receive the AZ COVID-19 vaccine on June 16. He regularly takes antiarrhythmic medication, Rytmonorm, one tablet in the morning and one in the evening, which may be rela...
Dr. Hong Yuanbin Reply:
Hello, the antiarrhythmic medications you mentioned are not listed as contraindications for the AZ vaccine either domestically or internationally, nor have they been indicated as unsuitable for vaccination. Thank you for your inquiry.[Read More] Can a 92-Year-Old with Arrhythmia Safely Receive the AZ COVID Vaccine?