People who person had COVID-19 are astatine accrued consequence of processing definite inflammatory diseases of nan airways, specified arsenic asthma, hay fever and chronic sinusitis. However, vaccination against nan SARS-CoV-2 microorganism appears to trim nan risk, according to a broad epidemiological study led by researchers astatine Karolinska Institutet.
The world investigation squad utilized an physics wellness database successful nan United States, TriNetX, to analyse nan nexus betwixt COVID-19 and alleged type-2 inflammatory diseases, a group of chronic conditions successful which nan immune strategy overreacts to allergens aliases infections.
The researchers compared 973,794 group who had had COVID-19 pinch 691,270 group who had been vaccinated against nan SARS-CoV-2 microorganism and 4,388,409 patient controls pinch nary documented infection aliases vaccination.
Inflammation successful nan airways
The results are presented successful The Journal of Allergy and Clinical Immunology. People who had had COVID-19 had a 66 per cent higher consequence of processing asthma, a 74 per cent higher consequence of chronic sinusitis and a 27 per cent higher consequence of hay fever compared pinch patient controls. However, nary accrued consequence was seen for nan tegument illness atopic eczema aliases for eosinophilic oesophagitis, an inflammation of nan oesophagus.
"Our results propose that COVID-19 tin trigger type-2 inflammation successful nan airways, but not successful different organs," says Philip Curman, a expert and interrogator astatine nan Department of Medical Epidemiology and Biostatistics astatine Karolinska Institutet, Sweden, who led nan research.
Vaccination against nan microorganism had nan other effect. The consequence of asthma was 32 per cent little among vaccinated individuals compared pinch patient unvaccinated individuals. The consequence of sinusitis and hay fever was besides somewhat lower.
More than doubly nan risk
When group who had had COVID-19 were compared pinch vaccinated individuals, an moreover clearer effect was seen. Infected individuals had much than doubly nan consequence of processing asthma aliases chronic sinusitis and a 40 per cent higher consequence of processing hay fever compared pinch those who had been vaccinated.
It is absorbing to spot that vaccination not only protects against nan infection itself, but besides appears to supply bully protection against definite respiratory complications."
Philip Curman, expert and interrogator astatine nan Department of Medical Epidemiology and Biostatistics astatine Karolinska Institutet
The study is retrospective, i.e. based connected information that has already been collected. This intends that nan researchers cannot tie immoderate patient conclusions astir causal links. Another limitation is that immoderate infections whitethorn person gone undiagnosed, particularly if they were detected done self-testing.
The investigation was conducted successful adjacent collaboration pinch nan University of Lübeck and nan Lübeck Institute of Experimental Dermatology successful Germany, nan Technical University of Madrid successful Spain and Bar-Ilan University successful Israel. It was chiefly funded by nan German Research Foundation (Deutsche Forschungsgemeinschaft), Region Stockholm and Karolinska Institutet. Two researchers received recreation grants from TriNetX, which provides nan database utilized successful nan study, and 1 of nan authors is employed by nan company.
Source:
Journal reference:
Olbrich, H., et al. (2025). COVID-19 infection raises respiratory type-2 inflammatory illness risk, whereas vaccination is protective. Journal of Allergy and Clinical Immunology. doi.org/10.1016/j.jaci.2025.07.030.
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