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10.1016/j.msard.2020.102195

http://scihub22266oqcxt.onion/10.1016/j.msard.2020.102195
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32460086!7219389!32460086
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suck abstract from ncbi


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pmid32460086      Mult+Scler+Relat+Disord 2020 ; 43 (ä): 102195
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  • B-cell depleting therapies may affect susceptibility to acute respiratory illness among patients with multiple sclerosis during the early COVID-19 epidemic in Iran #MMPMID32460086
  • Safavi F; Nourbakhsh B; Azimi AR
  • Mult Scler Relat Disord 2020[Aug]; 43 (ä): 102195 PMID32460086show ga
  • OBJECTIVE: To determine whether the course of COVID-19 is more severe in patients with MS and if MS disease-modifying treatments (DMTs) affect the risk of contracting the disease. METHODS: In a cross-sectional survey, data were collected by sending a questionnaire to 2000 patients with a demyelinating disease through an online portal system. Collected data included the current MS DMT and patient-reported disability level, history of recent sick contact, recent fever, respiratory symptoms, diagnosis with COVID-19, and the disposition after the diagnosis. We defined a COVID-19-suspect group as patients having fever and cough or fever and shortness of breath, or a presumptive diagnosis based on suggestive chest computed tomography. We calculated the proportion of COVID-19-suspect patients and compared their demographics, clinical characteristics, and DMT categories with the rest of survey-responders, using univariable and multivariable models. RESULTS: Out of 712 patients, 34 (4.8%) fulfilled our criteria for being in the COVID-19-suspect group. Only two patients required hospitalization. No patient required intensive care. In a multivariable model, disease duration (p-value=0.017), DMT category (p-value=0.030), and history of sick contact (p-values<0.001) were associated with the risk of being in the COVID-19-suspect group. Being on B-cell depleting antibodies (as compared to non-cell depleting, non-cell trafficking inhibitor DMTs) was associated with a 2.6-fold increase in the risk of being in the COVID-19-suspect group. (RR: 3.55, 95%CI: 1.45, 8.68, p-value=0.005). CONCLUSIONS: The course of infection in patients with MS suspected of having COVID-19 was mild to moderate, and all patients had a full recovery. B-cell depleting antibodies may increase the susceptibility to contracting COVID-19.
  • |Adult[MESH]
  • |Antibodies, Monoclonal, Humanized/therapeutic use[MESH]
  • |B-Lymphocytes/immunology[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/complications/epidemiology/*immunology/physiopathology[MESH]
  • |Cough[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Crotonates/therapeutic use[MESH]
  • |Dimethyl Fumarate/therapeutic use[MESH]
  • |Disease Susceptibility[MESH]
  • |Dyspnea[MESH]
  • |Epidemics[MESH]
  • |Female[MESH]
  • |Fever[MESH]
  • |Fingolimod Hydrochloride/therapeutic use[MESH]
  • |Glatiramer Acetate/therapeutic use[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Hydroxybutyrates[MESH]
  • |Immunocompromised Host/*immunology[MESH]
  • |Immunologic Factors/*therapeutic use[MESH]
  • |Intensive Care Units/statistics & numerical data[MESH]
  • |Interferons/therapeutic use[MESH]
  • |Iran/epidemiology[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Lymphocyte Depletion[MESH]
  • |Male[MESH]
  • |Multiple Sclerosis, Chronic Progressive/drug therapy/epidemiology[MESH]
  • |Multiple Sclerosis, Relapsing-Remitting/drug therapy/epidemiology[MESH]
  • |Multiple Sclerosis/complications/*drug therapy[MESH]
  • |Natalizumab/therapeutic use[MESH]
  • |Nitriles[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/epidemiology/*immunology/physiopathology[MESH]
  • |Rituximab/therapeutic use[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Toluidines/therapeutic use[MESH]


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