COVID-19 and immune-mediated inflammatory diseases: effect of disease and treatment on COVID-19 outcomes and vaccine responses.
Journal
The Lancet. Rheumatology
ISSN: 2665-9913
Titre abrégé: Lancet Rheumatol
Pays: England
ID NLM: 101765308
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
pubmed:
7
9
2021
medline:
7
9
2021
entrez:
6
9
2021
Statut:
ppublish
Résumé
At the beginning of the COVID-19 pandemic, patients with immune-mediated inflammatory diseases were considered to be at high risk for SARS-CoV-2 infection and the development of severe COVID-19. Data collected over the past year, however, suggest that a diagnosis of inflammatory arthritis, psoriasis, or inflammatory bowel diseases does not increase risk for SARS-CoV-2 infection or severe COVID-19 compared with people without these diseases. Furthermore, substantial data suggest that certain medications frequently used in patients with immune-mediated inflammatory diseases, in particular cytokine inhibitors, might even lower the risk for severe COVID-19. Conversely, glucocorticoids and potentially B-cell-depleting treatments seem to worsen COVID-19 outcomes. Additionally, the first data on SARS-CoV-2 vaccination in patients with these diseases suggest that tolerability of vaccination in patients with immune-mediated inflammatory diseases is good, although the immune response to vaccination can be somewhat reduced in this patient group, particularly those taking methotrexate or CD20-targeted treatment.
Identifiants
pubmed: 34485930
doi: 10.1016/S2665-9913(21)00247-2
pii: S2665-9913(21)00247-2
pmc: PMC8397302
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e724-e736Informations de copyright
© 2021 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
KT reports honoraria for lectures from UCB and Gilea. MS reports honoraria for lectures from Abbvie, Amgen, Celgene, Hexal, Jannsen, Leo, Lilly, Pfizer, Merck Sharpe & Dome, Mundipharma, Novartis, Sanofi, UCB; support for attending meetings from Abbvie, Celgene, Hexal, Jannsen, Leo, Lilly, Pfizer, Novartis, UCB; and participation advisory boards from Abbvie, Amgen, Celgene, Hexal, Jannsen, Leo, Lilly, Pfizer, Merck Sharpe & Dome, Mundipharma, Novartis, Sanofi, and UCB. MN reports consulting fees from Boehringer Ingelheim, IFM Therapeutics, Sterna Biologicals, Pentax; and honoraria for lectures from Abbvie, Amgen, Celgene, Falk, Janssen, Merck Sharpe & Dome, and Takeda. GS reports honoraria for lectures from Abbvie, Bristol Myers Squibb, Eli Lilly, Gilead, Janssen, Novartis, Pfizer, UCB; and consulting fees from Eli Lilly, Janssen, Novartis.
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