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10.55563/clinexprheumatol/44kaji

http://scihub22266oqcxt.onion/10.55563/clinexprheumatol/44kaji
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33886458!ä!33886458

suck abstract from ncbi


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pmid33886458      Clin+Exp+Rheumatol 2021 ; 39 (3): 631-638
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  • COVID-19 shares clinical features with anti-melanoma differentiation-associated protein 5 positive dermatomyositis and adult Still s disease #MMPMID33886458
  • Kondo Y; Kaneko Y; Takei H; Tamai H; Kabata H; Suhara T; Yamamoto R; Nagata H; Ishii M; Sasaki J; Hasegawa N; Fukunaga K; Takeuchi T
  • Clin Exp Rheumatol 2021[May]; 39 (3): 631-638 PMID33886458show ga
  • OBJECTIVES: To investigate the similarities and differences between Coronavirus disease 2019 (COVID-19) and autoimmune and autoinflammatory rheumatic diseases characterised by hyperferritinaemia, such as antimelanoma differentiation-associated protein 5 (MDA5) autoantibody-positive dermatomyositis and adult Still's disease. METHODS: We reviewed consecutive, newly diagnosed, untreated patients with COVID-19, anti-MDA5 dermatomyositis, or adult Still's disease. We compared their clinical, laboratory, and radiological characteristics, including the prevalence of macrophage activation syndrome and lung involvement in each disease. RESULTS: The numbers of patients with COVID-19, anti-MDA5 dermatomyositis, and adult-onset Still's disease with hyperferritinaemia (serum ferritin >/=500ng/dL) who were included for main analysis were 22, 14, and 59, respectively. COVID-19 and adult Still's disease both featured hyperinflammatory status, such as high fever and elevated serum C-reactive protein, whereas COVID-19 and anti-MDA5 dermatomyositis both presented with severe interstitial lung disease and hypoxaemia. While two-thirds of the patients in each group met the criteria for macrophage-activated syndrome that is used in systemic juvenile idiopathic arthritis, the HScore, an indicator of haemophagocytic lymphohistiocytosis, was low in anti-MDA5 dermatomyositis and COVID-19 even in severe or critical cases. The findings of chest computed tomography were similar between COVID-19 and anti-MDA5 dermatomyositis. CONCLUSIONS: COVID-19 shared clinical features with rheumatic diseases characterised by hyperferritinaemia, including anti-MDA5 dermatomyositis and adult Still's disease. These findings should be investigated further in order to shed light on the pathogenesis of not only COVID-19 but also the aforementioned rheumatic diseases.
  • |*COVID-19[MESH]
  • |*Dermatomyositis[MESH]
  • |*Still's Disease, Adult-Onset/complications/diagnosis[MESH]
  • |Adult[MESH]
  • |Autoantibodies[MESH]
  • |Humans[MESH]
  • |Interferon-Induced Helicase, IFIH1[MESH]
  • |Prognosis[MESH]


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