J Autoimmun:意大利东北部自身免疫性风湿病患者的SARS-CoV-2感染情况

2020-08-12 MedSci原创 MedSci原创

目前尚未明确自身免疫性风湿病(ARD)患者是否具有较高的SARS-CoV-2感染风险(COVID-19),以及SARS-CoV-2大流行对患者治疗依从性的影响。近日,研究人员评估了意大利东北大学医院的

目前尚未明确自身免疫性风湿病(ARD)患者是否具有较高的SARS-CoV-2感染风险(COVID-19),以及SARS-CoV-2大流行对患者治疗依从性的影响。近日,研究人员评估了意大利东北大学医院的一大批ARD随访患者中COVID-19的发生率和临床表现以及对治疗的依从性,其研究结果已在线发表于J Autoimmun

在SARS-CoV-2感染高峰期后的2020年4月9日至4月25日期间,研究人员进行了一项电话调查,调查COVID-19对系统性红斑狼疮(SLE)、系统性硬化症(SSc)、类风湿性关节炎(RA)、ANCA相关血管炎(AAV)和特发性炎症性肌病(IIM)患者的影响。此外,研究人员还收集了人口统计学、疾病活动状态、治疗、职业暴露以及远程社交疏离建议的依从性。

 

结果,916名患者(397名SLE,182名AAV,176名SSc,111名RA,50名IIM)完成了调查。148名患者出现了至少一种与COVID-19相关的症状(咳嗽96例,咽喉痛64例,发热64例,关节炎59例,腹泻26例,结膜炎18例,老年痴呆/多汗症18例)。在916名患者中,65名(7.1%)接受SARS-CoV-2鼻咽拭子检查(18名有症状,47名无症状),其中2名(0.21%)检测结果为阳性,这一比例与威尼托地区普通人群相似。无死亡病例发生。31名31例患者(3.4%)退出了≥1种药物,主要是免疫抑制剂或生物制剂。860名患者(93.9%)采用社交疏离,其中335名(36.6%)在正式封锁前采用。

 

综上所述,该研究结果表明,与普通人群相比,该研究队列中COVID-19的发生率似乎相似。对治疗和社交疏离建议的依从性很高。

 

原始出处:

 

M ZenE Fuzzi, et al., SARS-CoV-2 infection in patients with autoimmune rheumatic diseases in northeast Italy: A cross-sectional study on 916 patients. J Autoimmun. 2020 Aug;112:102502. doi: 10.1016/j.jaut.2020.102502. Epub 2020 Jun 8.

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    2020-08-13 hukaixun
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    2020-08-14 小刀医生
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    2020-08-13 月瘦如眉

    学习

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