frozen shoulder after covid vaccine

The https:// ensures that you are connecting to the Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. Vaccines have greatly reduced, and even completely eliminated, many infectious diseases in the United States and across the world. 1982;9:893898. Keywords: J Family Med Prim Care. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. It is treated with physical therapy and sometimes steroid injection.. Excruciatingly painful at the beginning and frozen - now frozen with reduces mobility and pain eased with anti inflammatories and painkillers. Federal government websites often end in .gov or .mil. -, Degreef I., Debeer P. Post-vaccination frozen shoulder syndrome. Keywords: Symptoms, treatment and a possible pandemic connection. We spoke with researchers, physicians, and people with lived experiences of this effect to find, In this feature, we highlight the most common side effects of the Moderna COVID-19 vaccine. (2022). -. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. An official website of the United States government. FOIA Can Pharm J (Ott) 2018;151(5):295299. Frozen shoulder is a condition that results in development of thickened, fibrosed joint capsule, contraction of the joint, and reduced intra-articular volume. Doctors can usually treat SIRVA, which will reduce pain and improve range of motion. doi: 10.1055/s-0040-1719086. sharing sensitive information, make sure youre on a federal Frozen shoulder is a severe shoulder dysfunction that takes more than a year to recover with the correct treatment, and 30%-40% of patients can have persistent mild to moderate symptoms at 2-3 years of follow-up.10But, the data and discussion on frozen shoulder after COVID-19 vaccination are virtually absent from the literature.21To date, there 1 The exact cause of these changes is unknown, with several possible processes suggested in the literature. Vaccine. Instead, Fu and other experts said, early detection is important. Vaccination against the coronavirus disease 2019 (COVID-19) has been reported to be an effective countermeasure and may reduce serious illness, hospitalization, and mortality due to COVID-19.19 Shoulder injury related to vaccine administration or shoulder injury related to vaccine administration (SIRVA) has been defined as any pain and dysfunction of the shoulder occurring within 48 hours of the vaccine administration and lasting for more than 7 days; SIRVA has been earlier reported with influenza and tetanus vaccines.1,13 Shoulder injury and the resultant disability due to SIRVA have been a cause for petitioners claim for compensation, which may increase substantially considering the increasing number of COVID-19 vaccination.21 However, the presentation and prognosis of vaccine-related shoulder dysfunction after COVID-19 vaccination is unclear. Although the pain is generally at its worst when the shoulder is inflamed, getting surgery too early is widely discouraged. Pain improved 90% and 70% in 2 patients, who had undergone shoulder steroid injection. Szari S, et al. The condition typically progresses through three stages. But they emphasized that a majority of frozen shoulder cases can be treated without surgery. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. Chronic stage magnetic resonance imaging findings in patients with shoulder injury related to vaccine administration (SIRVA). What makes SIRVA different from other shoulder injuries is its association with vaccination. Zeitoun A, Hallit S, Helali M, Chehade S, Allam C, Ibrahim A, Dimassi H, Karam R. J Pharm Policy Pract. Less commonly, an individual may experience more extensive shoulder pain after getting the COVID-19 vaccine. Shoulder injury related to vaccine administration: Diagnosis and management. doi: 10.1016/j.vaccine.2019.11.032. Med Sci Monit. Photograph of the injection being given to Patient 1. Methods: 2021;68:102622. doi: 10.1016/j.amsu.2021.102622. Symptoms developed immediately after the vaccination in 6 patients (60%), at 48 hours in 1 patient (10%), and at 10 days in 3 patients (30%). Shoulder Pain and Injury after COVID-19 Vaccination. Please enable it to take advantage of the complete set of features! Shoulder Injury Related to Vaccine Administration (SIRVA) An Occupational Case Report. This site needs JavaScript to work properly. Health & Wellness: What to know before your vaccine appointment | Creative coping tips | What to do about Zoom fatigue. He added that he also often orders an X-ray to rule out other conditions that can cause a loss of active and passive motion, such as arthritis. and transmitted securely. doi: 10.1177/1758573214560258. SIRVA (Shoulder Injury Related to Vaccine Administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. (2022). Federal government websites often end in .gov or .mil. HHS Vulnerability Disclosure, Help and transmitted securely. In the present study, 10 patients (9 women and 1 man) with a mean age of 53 8 years (range, 43-68 years) who presented to the shoulder surgeon's practice center with painful stiffness of the shoulder after COVID-19 vaccination between June 1 and September 30, 2021, were retrospectively evaluated. This Mix of Non-Opioid Medications Can Help Soothe Lower Back Pain, Study Finds, Former President Jimmy Carter Entered Hospice: Here's What That Means, Chronic Pain: Why Antidepressants May Not Be Effective, decreased arm mobility, including range of motion in the shoulder. Advisory Committee on Immunization Practices (ACIP). Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. The researchers suggested that "both direct and indirect effects" of having COVID-19 may be involved in the development of frozen shoulder, with possible links to inflammation caused by the. HHS Vulnerability Disclosure, Help Heres what you need to know. Exonerated man, freed after 28 years, reunites with pen pal who wrote him weekly, I wanted to face my deepest fear, so I suited up and flew to the Arctic. Accessibility (2022). 2021;69:102819. doi: 10.1016/j.amsu.2021.102819. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Youre More Likely to Be Hit by Lightning Than to Have Severe Vaccine Allergy, Understanding Forearm Pain: What Causes It and How to Find Relief, Why Aspirin is an Effective Pain Medication with Many Potential Applications. These side effects of COVID-19 vaccines, such as frozen shoulder, may likely be seen more commonly in the future because of the number of vaccine doses already crossing a figure of 900 million in India, 396 million in the United States, and 6 billion worldwide.12. Clipboard, Search History, and several other advanced features are temporarily unavailable. Frozen shoulder, also called adhesive capsulitis, happens when the ligaments that hold the shoulder joint in place tighten due to inflammation and restrict the joint's movement. Their guidance will depend on the type of injury a person has. Vaccine-Associated Diseases and Precautionary Measures against Adverse Reactions. Nonbinary student banned from prom for wearing a suit. This location should be above the level of your armpit when your arm is held straight by your side. This can occur within 48 hours of vaccination. Careers. According to another 2021 report, a 52-year-old Thai male experienced shoulder pain with limited range of motion 3 days after getting the Sinovac COVID-19 vaccine. Would you like email updates of new search results? 2023 Apr;18(2):613-617. doi: 10.1016/j.jds.2022.08.018. This site needs JavaScript to work properly. Covaxin is an inactivated viral vaccine (BBV152) developed by Bharat Biotech. Before Unauthorized use of these marks is strictly prohibited. (, Ultrasonographic images of the right shoulder of Patient 7. redness, swelling or bruising at and around the injection site. Wong W, et al. However, in rare cases when a vaccine is administered improperly, a person may experience more severe symptoms, including intense shoulder pain classified as SIRVA. Ann. government site. How to Prevent SIRVA Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. MacOmb C.V., Evans M.O., Dockstater J.E., Montgomery J.R., Beakes D.E. Epub 2022 Jun 8. Epub 2018 Apr 24. What causes shoulder injury after a vaccination? J Am Acad Orthop Surg Glob Res Rev. However, a person should contact a doctor if: The outlook for a person with SIRVA varies. Everybody wants to know, When is this going to end? And I cant tell anybody that, because it is very unique to just you and your biology, she said. This can occur within 48 hours of vaccination. Signs and symptoms typically begin slowly, then get worse. Such severe reactions to vaccines are very rare, but they do occur. Eight patients (80%) had a comorbidity during presentation (4 patients with hypothyroidism, 3 patients with diabetes mellitus, and 1 patient with prediabetes/hyperglycemia). Bulgen D.Y., Binder A., Hazleman B.L., Park J.R. Immunological studies in frozen shoulder. Epub 2022 Mar 23. Our study suffers from certain limitations. Federal government websites often end in .gov or .mil. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. We avoid using tertiary references. 2021;30:e409e413. Shoulder Injury Related to Vaccine Administration and a Growing Challenge: A Focused Review. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. 2023 Apr 3:1-7. doi: 10.1007/s00256-023-04334-3. -, Batra S, Page B. Epub 2022 Jun 8. Standard anteroposterior and lateral radiographs of the affected shoulder were also done in all patients. (2021). Hand C., Clipsham K., Rees J.L., Carr A.J. Some people may experience the following effects after receiving a vaccine: SIRVA symptoms usually arise within 48 hours of vaccination. Discussion and conclusion: Online ahead of print. The aching is usually temporary and relieved by an ice pack, anti-inflammatory medications, and a few days of resting your arm. One condition that may result is known as shoulder injury related to vaccine administration (SIRVA). Clin Orthop Relat Res. Heres what Fu and other experts say you need to know aboutspotting frozen shoulder, what to expect if youre diagnosed and possible treatment options. FOIA Eventually, she said, frozen shoulders will thaw out, meaning the stiffness goes away, and the joint returns to normal. The 3 patients who presented with an MRI of the shoulder had no abnormal findings on the MRI. How Long Do the COVID-19 Vaccines Protect You? Home & Garden: Setting up a home workout space | How to help plants thrive in spring | Solutions for stains and scratches, Travel: Vaccines and summer travel what families need to know | Take an overnight trip with your two-wheeled vehicle. Theyll give you a musically heartbreaking world. (2022). (2022). Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. doi: 10.1177/1715163518790771. 2023 Healthline Media UK Ltd, Brighton, UK. Im still doing things to try to continue the recovery. 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But instead of it feeling like a barrier, its like were coexisting now.. 8600 Rockville Pike Hence, the purpose of this case series was to describe the clinical presentation and short-term follow-up of patients who developed frozen shoulder after COVID-19 vaccination. See this image and copyright information in PMC. Online ahead of print. J Shoulder Elbow Surg. Often, SIRVA treatment includes one or more of the following: The exact treatment a person receives differs from person to person, depending on their symptoms. Possible side effects after getting a COVID-19 vaccine. To date, there have been no case series of patients diagnosed as SIRVA following a COVID-19 vaccination. Bulgen D.Y., Hazleman B.L., Ward M., McCallum M. Immunological studies in frozen shoulder. The https:// ensures that you are connecting to the Mil. Vaccines are intended to cause a response by the body, but doing so in the bursa will cause weeks of poor shoulder function. The side of involvement was the same shoulder as the vaccination side in all patients in this series. 2010;28:80498052. In the long term, the condition can decrease a persons range of motion. Maliwankul K, Boonsri P, Klabklay P, Chuaychoosakoon C. Vaccines (Basel). Arthroscopic surgical management of shoulder secondary to shoulder injury related to vaccine administration (SIRVA). HHS Vulnerability Disclosure, Help Surgery cant get rid of inflammation or stop the conditions natural progression to stiffness, Bishop said. Hence, we recommend that if the patients have any pre-existing mild shoulder pain, vaccination should be taken with due caution, especially in terms of the technique, as their shoulder symptoms may worsen after the vaccination. The pathology of frozen shoulder. Strangers rallied to help. Thus, it may also be difficult for physicians to appreciate the development of frozen shoulder after vaccination because of an absence of a well-understood basic etiopathogenetic mechanism. Would you like email updates of new search results? Pfizer-BioNTech COVID-19 vaccine reactions & adverse events. HHS Vulnerability Disclosure, Help Frozen shoulder after COVID-19 vaccination The musculoskeletal specialists who will see such patients with painful shoulder stiffness should be aware of the frozen shoulder diagnosis, which can occur after COVID-19 vaccination, so that such patients can be identified and treated early. Methods: eCollection 2023 Mar 1. Martn Arias LH, Sanz Fadrique R, Sinz Gil M, Salgueiro-Vazquez ME. Frozen shoulder typically progresses through several phases, beginning with the inflammatory phase, which is characterized by pain, Bishop said. Although there is evidence that the COVID-19 pandemic had profound physiological and psychological effects, there is no research aimed at understanding if the pandemic has had an impact on the incidence or severity of frozen shoulder (FS). ( A ) A, Ultrasonographic images of the right shoulder of Patient 6. This site needs JavaScript to work properly. 2023 Mar 9;7(3):e22.00156. But experts cautioned against getting an MRI. Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends. -, Boonsri P., Chuaychoosakoon C. Combined subacromial-subdeltoid bursitis and supraspinatus tear following a COVID-19 vaccination: a case report. (2019). Adhesive capsulitis; COVID-19; Frozen shoulder; SIRVA; Shoulder pain; Stiffness; Vaccine. . 2023. Is it normal for my shoulder to hurt after a COVID-19 vaccine? Shoulder injury related to vaccine administration (SIRVA) is an increasingly recognised complication after vaccination and presents with significant shoulder pain and stiffness. Rodrigues TS, et al. Wiesel B.B., Keeling L.E. Results: Scientists estimate that the first rounds of COVID-19 vaccines administered between December 2020 and December 2021 prevented 20 million deaths in 1 year. Surg. KEY POINTS. In this feature, we look at the side effects of each of the 33 COVID-19 vaccines authorized for use in at least one country. Overview. In most cases, symptoms such as swelling, discomfort, and fever indicate that the body is building immunity. Maund E, Craig D, Suekarran S, Neilson A, Wright K, Brealey S, Dennis L, Goodchild L, Hanchard N, Rangan A, Richardson G, Robertson J, McDaid C. Health Technol Assess. If the timing is right for a capsular release, the procedure can be highly effective, experts said. It can be excruciating.. Frozen shoulder. The mean visual analog scale score was 6.51.9 (range, 2.5-8), and both active and passive ROM were limited in all the patients at the time of presentation (TableII). Ritchie H., Mathieu E., Rods-Guirao L., Appel C., Giattino C., Ortiz-Ospina E., et al. Disclaimer. Merchant H. Inadvertent injection of COVID-19 vaccine into deltoid muscle vasculature may result in vaccine distribution to distance tissues and consequent adverse reactions. An official website of the United States government. We excluded those patients who had significant shoulder pain and stiffness before the administration of the first dose of the COVID-19 vaccine. All 10 patients had normal radiographs and were diagnosed as frozen shoulder. Global impact of the first year of COVID-19 vaccination: a mathematical modelling study. Two patients developed shoulder pain immediately following the injection, one patient about 3 h after the injection, and the other four patients within the next few days. Covishield is a nonreplicating adenoviral vector vaccine (ChAdOx1 nCoV-19) produced by Serum Institute of India in collaboration with AstraZeneca. Clinical features, follow-up, range of motion, and pain scores of 10 patients with frozen shoulder after COVID-19 vaccination. Shoulder stiffness: current concepts and concerns. All the patients were examined by the shoulder surgeon. -, Hexter AT, Gee E, Sandher D. Management of glenohumeral synovitis secondary to influenza vaccination. The resulting disability can be serious, and the condition tends to get worse with time if it's not treated. National Library of Medicine ( A ) The needle direction is incorrectly cephalad to, MRI images of the right shoulder of Patient 1; proton density-weighted images in, MRI images of the right shoulder of Patient 2; proton density-weighted images in, MRI images of the left shoulder of Patient 4; ( A ) coronal, Ultrasonographic images of the right shoulder of Patient 5. Hence the vaccine can be safely given in the deltoid muscle in the shoulder, even if the same shoulder is affected by the frozen shoulder. Vaccine. Background: A shoulder injury related to vaccine administration (SIRVA) is a vaccination complication that can affect daily life activities. Petrakis N, Addison M, Penak B, Schrader S, Mallard J, Clothier HJ, Buttery JP, Crawford NW, Cheng DR. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Shoulder injury related to vaccine administration (SIRVA) following mRNA COVID-19 vaccination: Report of 2 cases of subacromial-subdeltoid bursitis. There was no significant difference between the control and the pandemic group in the distribution of patients per treatment group (P = .94). To avoid injury, its important not to inject the vaccination too high or too low on the upper arm. Careers. Coronavirus pandemic (COVID-19) 2020. Copyright 2022 Journal of Shoulder and Elbow Surgery Board of Trustees. A misdiagnosis, Fu said, could be problematic for a persons recovery. Shoulder Elbow. (2021). I still notice it, she said. Vaccination process evaluation at COVID-19 vaccination centers in Lebanon: a national study. Who is at risk of developing frozen shoulder? A larger study and a longer follow-up will be needed and is currently underway to accurately define the prognosis and significance of the frozen shoulder after vaccination. Med. Sometimes, the shoulder pain that comes on after a vaccine does not get better. The data on frozen shoulder and shoulder injury related to vaccine administration (SIRVA) after coronavirus disease 2019 (COVID-19) vaccination are absent from the literature. J Am Acad Orthop Surg Glob Res Rev. Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. Some people experience shoulder pain after receiving the COVID-19 vaccine. Med Sci Monit. Vaccine. Localized autoimmune reaction has been investigated and stated as one of the etiological factors responsible for the development of idiopathic frozen shoulder in past reports.3,4 Vaccines are supposed to be absorbed locally and induce a local antibody response; However, any inadvertent systemic absorption of the vaccine and transfection to distant sites by the deltoid vasculature may lead to the rare autoimmune response against the transfected tissues.15 Autoimmune conditions such as Guillain-Barre syndrome and thrombosis with thrombocytopenia syndrome after vaccination have been theorized to occur as a result of similar systematic transfection of the vaccine and resultant autoimmune response to nerves and platelets.15 It may be possible that vaccine transfection to local capsular tissue or nerves may have elicited an autoimmune response leading to the development of a frozen shoulder. Persistent Shoulder Pain After Vaccine Administration Is Associated with Common Incidental Pathology: A Systematic Review. Diagnosing SIRVA can be challenging, as shoulder pain is a common symptom shared by a variety of medical conditions. If you have frozen shoulder, you wont be able to lift your arm yourself or with help from a clinician, Deu said. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. What is shoulder injury related to vaccine administration (SIRVA)? Most patients with SIRVA seek treatment from musculoskeletal specialists.21 Hence, a clinical description and data regarding shoulder injury after the COVID-19 vaccine is important for the education and awareness of physicians. Background: doi: 10.5435/JAAOSGlobal-D-22-00156. Accessibility Frozen shoulder after COVID vaccination has not yet been reported, and a longer follow-up is not yet available. Last medically reviewed on January 17, 2022, This Special Feature gives tips about dealing with COVID-19 vaccine side effects, including which home care techniques can help and when to contact a. See this image and copyright information in PMC. Can you get a covid booster and a flu shot together? Shimabukuro, T. T. (2018). For patients presenting with unremitting shoulder pain and reduced shoulder range of motion after recently receiving a SARS-CoV-2 vaccine, clinicians should consider SIRVA in their differential diagnosis, along with septic arthritis. 1. Newsletter: Sign up for Eat Voraciously one quick, adaptable and creative recipe in your inbox every Monday through Thursday. Individuals may experience shoulder pain following a COVID-19 vaccination. However,. -. Bookshelf The National Vaccine Injury Compensation Program covers SIRVA injuries, and individuals may qualify to receive compensation for SIRVA-related claims. The hallmark of treatment for frozen shoulder is physical therapy and stretching, Fu said. These are normal reactions to vaccinations. Corticosteroid Injections Accelerate Pain Relief and Recovery of Function Compared With Oral NSAIDs in Patients With Adhesive Capsulitis: A Randomized Controlled Trial. The mean SSV in the control group was 50% 20% vs. 45% 18% in the pandemic group-statistically significant (P = .013) but unlikely to be clinically significant. Injuries were predominantly shoulder pain and dysfunction (due to pain, joint-range restriction, bursitis, and stiff shoulder), and patients reported that the vaccines were administered "too high" on the arm. Unable to load your collection due to an error, Unable to load your delegates due to an error. They learn how to avoid injury when giving a shot, so they are aware of the risks of improper administration. Statistical analysis was performed using the chi-square and Student t test for categorical and continuous variables, respectively. The present study is a retrospective study on a small number of patients. Before Bursitis; COVID-19; MRI; SIRVA; Shoulder; Ultrasound; Vaccine. All rights reserved. This site needs JavaScript to work properly. Additionally, Bishop said, frozen shoulder can be triggered by a minor injury, such as your dog yanking your arm while on a walk, or surgery that results in immobilization for an extended period of time. PMC Clinical relevance: Long-term outcome of frozen shoulder. Its not the real reason forshoulder pain in frozen shoulder.. Under reported and under diagnosed in the Uk - but very real for those experiencing it. Once you get into this cascade of a little bit of inflammation or microtrauma that leads to more inflammation, that just sets off the whole cycle of adhesive capsulitis, where the capsule, which is normally really thin like a piece of tissue paper almost, then becomes really thick and like cardboard, and thats how your shoulder gets tight and you lose range of motion.. Ann Med Surg. Internal rotation ROM was measured based on the thumb reaching the highest vertebrae. The .gov means its official. Case series of 12 patients. FOIA Magnetic resonance imaging (MRI) was not advised as an investigation, as it does not help in the management.21 However, 3 patients already had an MRI with them at the time of initial consultation. Six patients (60%) had no symptoms in their affected shoulder, and 4 (40%) patients had mild, intermittent shoulder pain before the vaccination (TableI). Two of the seven patients visited the orthopedic clinic after the persistent shoulder pain for 3 and 4 days and the other five patients 1-9 weeks following their injections. It is most common in women between 40-70 years old. Surg. Shoulder Pain and Injury after COVID-19 Vaccination. However, the condition is uncomfortable, and treatment may take time. -, Chan J.H., Ho B.S., Alvi H.M., Saltzman M.D., Marra G. The relationship between the incidence of adhesive capsulitis and hemoglobin A1c. Rev Bras Ortop. HHS Vulnerability Disclosure, Help Cases also appear to bemoreprevalent among peoplewithcertain underlying health conditions, including diabetes,particularly Type 1 or insulin-dependent diabetics, and thyroid disorders, said Julie Bishop, chief of the division of shoulder surgery at Ohio State Universitys Wexner Medical Center. These common localized reactions are usually short-lived and mild. Federal government websites often end in .gov or .mil. All SIRVAs were from an incorrect injection technique and not actually the vaccination, so our series highlights the importance of ensuring all vaccinators understand the importance of taking proper care with the injection technique. Reports of SIRVA with the COVID-19 vaccine are scarce. Sign up for Eat Voraciously one quick, adaptable and creative recipe in your inbox every Monday through Thursday. A description of frozen shoulder after COVID-19 vaccination is virtually absent from the orthopedic literature.21. FOIA A doctor can treat the condition using pain-relieving medication, physical therapy, and corticosteroid injections. Nat Rev Rheumatol. Kagawa K, Kuroda H, Kaneko D, Imura M, Imaizumi U, Kido K, Tsukimoto S, Kurata S, Kishimoto N, Sanuki T. J Dent Sci. 2020 Jun 4;10(6):370. doi: 10.3390/diagnostics10060370. government site. The authors declare no competing interests. Shoulder injury related to vaccine administration (SIRVA) following mRNA COVID-19 vaccination: Report of 2 cases of subacromial-subdeltoid bursitis. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. There is no strong evidence to suggest they may be dangerous. There were 9 women and 1 man in our cohort with an average age of 53 years; our finding agrees with earlier reports that the average age is around 51 years,13 and women are more likely to be affected by SIRVA.1 The onset of symptoms after vaccination was immediate in 6 patients, at 48 hours in 1 patient, and at 10 days in 3 patients.

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