Inflammatory arthritis in patients with COVID-19.

Arthritis / etiology COVID-19 / complications Humans Immunosuppressive Agents / therapeutic use Rheumatic Diseases / drug therapy SARS-CoV-2 Severity of Illness Index

Journal

Translational research : the journal of laboratory and clinical medicine
ISSN: 1878-1810
Titre abrégé: Transl Res
Pays: United States
ID NLM: 101280339

Informations de publication

Date de publication:
06 2021
Historique:
received: 30 10 2020
revised: 17 02 2021
accepted: 19 02 2021
pubmed: 25 2 2021
medline: 18 5 2021
entrez: 24 2 2021
Statut: ppublish

Résumé

Patients with inflammatory arthritis represent a possible high-risk group to COVID-19 due to their immunosuppressive regimen designed to maintain low disease activity. Thus, substantial effort has been put forth to understand the impact of COVID-19 on these patients. Patients with rheumatic diseases as a whole do not appear to be more susceptible to acquiring COVID-19. Furthermore, immunosuppression generally did not increase the likelihood of developing severe COVID-19, with the important exception of medium and high-dose glucocorticoid use. In addition, a small number of COVID-19 patients have developed new inflammatory arthritis; whether this represents an unmasking of previous subclinical disease or a bone fide virus-induced arthritis is unclear. Nevertheless, it appears that inflammatory arthritis patients currently on immunosuppression should continue their medication to prevent future flares and limit glucocorticoid usage. While this continues to be a rapidly evolving field, these data are reassuring to both patients with and providers treating inflammatory arthritides.

Identifiants

DOI: 10.1016/j.trsl.2021.02.010 PMID: 33626415 PMC: PMC7897406
pubmed: 33626415
pii: S1931-5244(21)00047-5
doi: 10.1016/j.trsl.2021.02.010
pmc: PMC7897406
pii:
doi:

Substances chimiques

Immunosuppressive Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

49-59

Subventions

Organisme : Medical Research Council
ID : MR/P028071/1
Pays : United Kingdom
Organisme : NIAMS NIH HHS
ID : T32 AR048522
Pays : United States

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

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Auteurs

Richard Conway (R)

Department of Rheumatology, St. James's Hospital, Dublin, Ireland.

Maximilian F Konig (MF)

Division of Rheumatology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Elizabeth R Graef (ER)

The COVID-19 Global Rheumatology Alliance, Boston, Massachusetts.

Kate Webb (K)

Division of Paediatric Rheumatology, School of Child and Adolescent Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa; Crick African Network, Francis Crick Institute, London, UK.

Jinoos Yazdany (J)

Division of Rheumatology, Department of Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco, California. Electronic address: Jinoos.Yazdany@ucsf.edu.

Alfred H J Kim (AHJ)

Division of Rheumatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri. Electronic address: akim@wustl.edu.

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Classifications MeSH

questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Arthrite › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Effets physiologiques des médicaments › Facteurs immunologiques › Immunosuppresseurs › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies du tissu conjonctif › Rhumatismes › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › Inflammatory arthritis in patients with COVID-19.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Enquêtes de santé › Indicateurs d'état de santé › Acuité des besoins du patient › Indice de gravité de la maladie › Inflammatory arthritis in patients with COVID-19.