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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 J+Allergy+Clin+Immunol
2020 ; 146
(2
): 300-306
Nephropedia Template TP
gab.com Text
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English Wikipedia
Risk and management of patients with mastocytosis and MCAS in the SARS-CoV-2
(COVID-19) pandemic: Expert opinions
#MMPMID32561389
Valent P
; Akin C
; Bonadonna P
; Brockow K
; Niedoszytko M
; Nedoszytko B
; Butterfield JH
; Alvarez-Twose I
; Sotlar K
; Schwaab J
; Jawhar M
; Reiter A
; Castells M
; Sperr WR
; Kluin-Nelemans HC
; Hermine O
; Gotlib J
; Zanotti R
; Broesby-Olsen S
; Horny HP
; Triggiani M
; Siebenhaar F
; Orfao A
; Metcalfe DD
; Arock M
; Hartmann K
J Allergy Clin Immunol
2020[Aug]; 146
(2
): 300-306
PMID32561389
show ga
The coronavirus disease 2019 (COVID-19) (caused by severe acute respiratory
syndrome coronavirus 2) pandemic has massively distorted our health care systems
and caused catastrophic consequences in our affected communities. The number of
victims continues to increase, and patients at risk can only be protected to a
degree, because the virulent state may be asymptomatic. Risk factors concerning
COVID-19-induced morbidity and mortality include advanced age, an impaired immune
system, cardiovascular or pulmonary diseases, obesity, diabetes mellitus, and
cancer treated with chemotherapy. Here, we discuss the risk and impact of
COVID-19 in patients with mastocytosis and mast cell activation syndromes.
Because no published data are yet available, expert opinions are, by necessity,
based on case experience and reports from patients. Although the overall risk to
acquire the severe acute respiratory syndrome coronavirus 2 may not be elevated
in mast cell disease, certain conditions may increase the risk of infected
patients to develop severe COVID-19. These factors include certain comorbidities,
mast cell activation-related events affecting the cardiovascular or
bronchopulmonary system, and chemotherapy or immunosuppressive drugs. Therefore,
such treatments should be carefully evaluated on a case-by-case basis during a
COVID-19 infection. In contrast, other therapies, such as anti-mediator-type
drugs, venom immunotherapy, or vitamin D, should be continued. Overall, patients
with mast cell disorders should follow the general and local guidelines in the
COVID-19 pandemic and advice from their medical provider.