{"id":1909,"date":"2025-06-25T14:26:20","date_gmt":"2025-06-25T12:26:20","guid":{"rendered":"https:\/\/resemedicin.se\/svarigar\/?p=1909"},"modified":"2025-06-25T14:26:21","modified_gmt":"2025-06-25T12:26:21","slug":"2025-06-19-mpr-vaccin-och-itp","status":"publish","type":"post","link":"https:\/\/resemedicin.se\/svarigar\/2025-06-19-mpr-vaccin-och-itp\/","title":{"rendered":"2025-06-19 MPR-vaccin och ITP"},"content":{"rendered":"\n<p><strong>Fr\u00e5ga:<\/strong> Jag har en kvinna som skulle beh\u00f6va vaccineras mot m\u00e4ssling, hon \u00e4r seronegativ. Framkommer att hon vid 1,5 \u00e5rs \u00e5lder f\u00e5tt immunologisk trombocytopen purpura (ITP) sannolikt efter f\u00f6rsta dosen MPR-vaccin, tagit dos 2 vid 5 \u00e5r och d\u00e5 inte f\u00e5tt n\u00e5gon ITP. Hon har haft en immunosuppressiv behandling som nu \u00e4r utsatt och vill passa p\u00e5 att vaccinera sig under medicinfri period.\u00a0V\u00e5gar man ge en dos MPR eller \u00e4r risken f\u00f6r ITP p\u00e5taglig?<\/p>\n\n\n\n<p><strong>Svar:<\/strong> Fallbeskrivningar och registerstudier visar att ITP kan uppst\u00e5 efter vissa vaccinationer, t.ex. MPR, influensa, HPV eller covid-19. Hos patienter med tidigare ITP efter vaccination anses risken f\u00f6r \u00e5terfall efter samma typ av vaccin vara f\u00f6rh\u00f6jd. Dock \u00e4r upprepade reaktioner inte alltid f\u00f6ruts\u00e4gbara \u2013 en tidigare episod inneb\u00e4r inte att reaktionen n\u00f6dv\u00e4ndigtvis \u00e5terkommer. Det kr\u00e4vs allts\u00e5 ett individuellt st\u00e4llningstagande i varje enskilt fall.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5ga: Jag har en kvinna som skulle beh\u00f6va vaccineras mot m\u00e4ssling, hon \u00e4r seronegativ. Framkommer att hon vid 1,5 \u00e5rs \u00e5lder f\u00e5tt immunologisk trombocytopen purpura (ITP) sannolikt efter f\u00f6rsta dosen MPR-vaccin, tagit dos 2 vid 5 \u00e5r och d\u00e5 inte f\u00e5tt n\u00e5gon ITP. Hon har haft en immunosuppressiv behandling som nu \u00e4r utsatt och vill &hellip; <a href=\"https:\/\/resemedicin.se\/svarigar\/2025-06-19-mpr-vaccin-och-itp\/\" class=\"more-link\">Forts\u00e4tt l\u00e4sa<span class=\"screen-reader-text\"> \u201d2025-06-19 MPR-vaccin och ITP\u201d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1909","post","type-post","status-publish","format-standard","hentry","category-svar-igar"],"modified_by":"Karl Ekdahl","jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/1909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/comments?post=1909"}],"version-history":[{"count":1,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/1909\/revisions"}],"predecessor-version":[{"id":1910,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/1909\/revisions\/1910"}],"wp:attachment":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/media?parent=1909"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/categories?post=1909"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/tags?post=1909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}