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2020 ; 40
(9
): 1353-1360
Nephropedia Template TP
Kastritis E
; Kitas GD
; Vassilopoulos D
; Giannopoulos G
; Dimopoulos MA
; Sfikakis PP
Rheumatol Int
2020[Sep]; 40
(9
): 1353-1360
PMID32654078
show ga
As of June 10th 2020 about 7.2 million individuals have tested positive for, and
more than 410,000 have died due to COVID-19. In this review we outline the
pathophysiology that underpins the potential use of anti-rheumatic therapies for
severe COVID-19 infection and summarize the current evidence regarding the risk
and outcome of COVID-19 in patients with systemic autoimmune diseases. Thus far
there is no convincing evidence that any disease-modifying anti-rheumatic drug
(conventional synthetic, biologic or targeted synthetic) including
hydroxychloroquine, may protect against severe COVID-19 infection; answers about
their possible usefulness in the management of the cytokine storm associated with
severe COVID-9 infection will only arise from ongoing randomized controlled
trials. Evidence on COVID-19 risk and outcome in patients with systemic
autoimmune diseases is extremely limited; thus, any conclusions would be unsafe
and should be seen with great caution. At present, the risk and severity
(hospitalization, intensive care unit admission and death) of COVID-19 infection
in people with autoimmune diseases do not appear particularly dissimilar to the
general population, with the possible exception of hospitalization in patients
exposed to high glucocorticoid doses. At this stage it is impossible to draw any
conclusions for differences in COVID-19 risk and outcome between different
autoimmune diseases and between the various immunomodulatory therapies used for
them. More research in the field is obviously required, including as a minimum
careful and systematic epidemiology and appropriately controlled clinical trials.
|Antibodies, Monoclonal, Humanized/therapeutic use
[MESH]