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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Mult+Scler+Relat+Disord
2020 ; 43
(ä): 102195
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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
PMID32460086
show 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]