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10.1016/j.jaad.2020.07.089

http://scihub22266oqcxt.onion/10.1016/j.jaad.2020.07.089
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32735965!7385924!32735965
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suck abstract from ncbi


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pmid32735965      J+Am+Acad+Dermatol 2020 ; 83 (6): 1696-1703
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  • Antecedent immunosuppressive therapy for immune-mediated inflammatory diseases in the setting of a COVID-19 outbreak #MMPMID32735965
  • Veenstra J; Buechler CR; Robinson G; Chapman S; Adelman M; Tisack A; Dimitrion P; Todter E; Kohen L; Lim HW
  • J Am Acad Dermatol 2020[Dec]; 83 (6): 1696-1703 PMID32735965show ga
  • BACKGROUND: Finite clinical data and understanding of COVID-19 immunopathology has led to limited, opinion-based recommendations for the management of patients with immune-mediated inflammatory disease (IMID) receiving immunosuppressive (IS) therapeutics. OBJECTIVE: To determine if IS therapeutic type affects COVID-19 risk among patients with IMID. METHODS: We conducted a retrospective cohort analysis of Henry Ford Health System patients tested for COVID-19 between February 1 and April 18, 2020, treated with IS medication for IMID. Therapeutic class of IS medication, comorbidities, and demographic factors were combined into multivariate models to determine predictors of COVID-19 infection, admission, ventilation, and mortality. RESULTS: Of 213 patients with IMID, 36.2% tested positive for COVID-19, and they had no greater odds of being hospitalized or requiring ventilation relative to the general population. No IS therapeutic worsened the course of disease after multivariate correction, although multidrug regimens and biologics predicted an increased and decreased rate of hospitalization, respectively, with the latter driven by tumor necrosis factor alpha inhibitors. LIMITATIONS: A single-center study somewhat limits the generalization to community-based settings. Only patients tested for COVID-19 were analyzed. CONCLUSION: IS therapies for IMIDs are not associated with a significantly greater risk of SARS-CoV-2 or severe sequelae when controlling for other factors, and tumor necrosis factor alpha inhibitors may decrease the odds of severe infection.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Autoimmune Diseases/*drug therapy/immunology[MESH]
  • |Betacoronavirus/immunology/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/statistics & numerical data[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/immunology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunosuppressive Agents/*administration & dosage/adverse effects[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology/immunology/virology[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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