Table 3

Comparative analysis of clinical features in connective tissue diseases with onset after SARS-CoV-2 infection or COVID-19 vaccine administration

Post-COVID-19 (n=24)Post-vaccine (n=30)P value
Age, years47±1855±190.134
Female sex, n (%)19 (79.2)22 (73.3)0.618
N° vaccine doses, n (%)2±13±10.263
ANA positive, n (%)21 (87.5)28 (93.3)0.462
 >1:160, n (%)12 (57.1)16 (57.1)1.000
 >1:640, n (%)3 (14.3)5 (17.8)1.000
ESR, mm/h19±1628±220.728
CRP, mg/dL0.75 (0.30–1.50)0.56 (0.20–2.50)0.551
Specific diseases
UCTD, n (%)6 (25.0)11 (36.7)0.359
 Anti-SSA positive, n (%)0 (0.0)3 (27.3)0.159
 Anti-Scl-70 positive, n (%)2 (33.3)2 (18.2)0.482
SSc, n (%)6 (25.0)6 (20.0)0.661
 Anti-Scl-70 positive, n (%)2 (33.3)2 (33.3)1.000
 ACA positive, n (%)3 (50.0)4 (66.7)0.558
IIM, n (%)4 (16.7)6 (20.0)0.754
 Anti-Mi2 positive, n (%)1 (25.0)2 (33.3)0.778
 Anti-Pl7 positive, n (%)1 (25.0)0 (0.0)0.197
 Anti-TIF1-γ, n (%)0 (0.0)2 (33.3)0.197
ADM, n (%)0 (0.0)2 (6.7)0.197
 Anti-Mi2 positive, n (%)0 (0.0)1 (50.0)N/A*
 Anti-MDA5 positive, n (%)0 (0.0)1 (50.0)N/A*
SLE, n (%)2 (8.3)1 (3.3)0.425
 Anti-ds-DNA positive, n (%)1 (50.0)1 (100.0)0.386
 Anti-Sm positive, n (%)1 (50.0)0 (0.0)0.386
MCTD, n (%)0 (0.0)3 (10.0)0.111
 Anti-RNP positive, n (%)0 (0.0)3 (100.0)N/A*
SjS, n (%)1 (4.2)0 (0.0)0.259
 SSA positive, n (%)1 (100.0)0 (0.0)N/A*
Isolated acrosyndrome, n (%)5 (20.8)1 (3.3)0.042
 Acrocyanosis, n (%)2 (40.0)0 (0.0)0.439
 Raynaud’s phenomenon, n (%)3 (60.0)1 (100.0)0.439
Treatment
 Paracetamol, n (%)7 (29.2)10 (33.3)0.743
 NSAIDs, n (%)5 (20.8)6 (20.0)0.940
 GCs, n (%)9 (37.5)17 (56.7)0.161
 Intra-articular GCs, n (%)2 (8.3)0 (0.0)0.107
 Colchicine, n (%)0 (0.0)3 (10.0)0.111
 MTX, n (%)3 (12.5)3 (10.0)0.771
 HCQ, n (%)4 (16.7)6 (20.0)0.754
 AZA, n (%)0 (0.0)2 (6.7)0.197
 MMF, n (%)1 (4.2)1 (3.3)0.872
 CYC, n (%)0 (0.0)1 (3.3)0.367
 IVIg, n (%)1 (4.2)1 (3.3)0.472
 CCBs, n (%)4 (16.7)2 (6.7)0.245
  • *Expected number in one category is equal to zero.

  • ACA, anti-centromere antibodies; ADM, amyopathic dermatomyositis; ANA, antinuclear antibodies; AZA, azathioprine; CCBs, calcium channel blockers; CRP, C reactive protein; CYC, cyclophosphamide; ESR, erythrocyte sedimentation rate; GCs, glucocorticoids; HCQ, hydroxychloroquine; IIM, idiopathic inflammatory myopathy; IVIg, intravenous immunoglobulin; MCTD, mixed connective tissue disease; MMF, mycophenolate mofetil; MTX, methotrexate; N/A, not applicable; NSAIDs, non-steroidal anti-inflammatory drugs; SjS, Sjögren’s syndrome; SLE, systemic lupus erythematosus; SSc, systemic sclerosis; UCTD, undifferentiated connective tissue disease.