Novel Coronavirus disease 2019 (COVID-19) has spread rapidly around the world. Individuals with immune dysregulation and/or on immunosuppressive therapy, such as rheumatic patients, are considered at greater risk for infections. However, the risks of patients with each subcategory of rheumatic diseases have not been reported. Here, we identified 100 rheumatic patients from 18,786 COVID-19 patients hospitalized in 23 centers affiliated to Hubei COVID-19 Rheumatology Alliance between January 1 and April 1, 2020. Demographic information, medical history, length of hospital stay, classification of disease severity, symptoms and signs, laboratory tests, disease outcome, computed tomography, and treatments information were collected. Compared to gout and ankylosing spondylitis (AS) patients, patients with connective tissue disease (CTD) tend to be more severe after COVID-19 infection (p = 0.081). CTD patients also had lower lymphocyte counts, hemoglobin, and platelet counts (p values were 0.033, < 0.001, and 0.071, respectively). Hydroxychloroquine therapy and low- to medium-dose glucocorticoids before COVID-19 diagnosis reduced the progression of COVID-19 to severe/critical conditions (p = 0.001 for hydroxychloroquine; p = 0.006 for glucocorticoids). Our data suggests that COVID-19 in CTD patients may be more severe compared to patients with AS or gout.
基金:
National Natural Science Foundation of China [81974254, 81670431, 81771754]; Tongji Hospital [2019CR206]; Hubei Chen Xiaoping Science and Technology Development Foundation [CXPJJH11800005-07]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Rheumatol & Immunol, Wuhan 430030, Hubei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Ye Cong,Zhong Jixin,Cai Shaozhe,et al.COVID-19 infection in patients with connective tissue disease: A multicity study in Hubei province, China[J].MEDCOMM.2021,2(1):82-90.doi:10.1002/mco2.56.
APA:
Ye, Cong,Zhong, Jixin,Cai, Shaozhe,Dong, Li,Li, Chuanjing...&Dong, Lingli.(2021).COVID-19 infection in patients with connective tissue disease: A multicity study in Hubei province, China.MEDCOMM,2,(1)
MLA:
Ye, Cong,et al."COVID-19 infection in patients with connective tissue disease: A multicity study in Hubei province, China".MEDCOMM 2..1(2021):82-90