Abstract
Patients with rheumatic diseases, particularly those on immunosuppression, have additional considerations regarding coronavirus disease 2019 (COVID-19) compared with the general population. These include an increased risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, along with worse COVID-19 clinical outcomes related to immunosuppressive regimen, disease activity status, and comorbidities. Strategies to mitigate this increased risk remain limited, particularly as new SARS-CoV-2 variants emerge. Finally, SARS-CoV-2 infection has also induced or unmasked de novo inflammatory phenotypes in some patients without any prior autoimmune disease consistent with several established systemic autoimmune conditions. Here, we summarize these important considerations.
Original language | English |
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Title of host publication | Firestein & Kelley's Textbook of Rheumatology, 2-Volume Set |
Publisher | Elsevier |
Pages | 2083-2094.e5 |
Volume | 2 |
ISBN (Electronic) | 9780323935401 |
ISBN (Print) | 9780323935906 |
DOIs | |
State | Published - Jan 1 2024 |
Keywords
- anti-viral
- autoantibodies
- COVID-19
- immunosuppression
- monoclonal antibodies
- rheumatic disease
- SARS-CoV-2