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COVID-19 infection in patients with connective tissue disease: A multicity study in Hubei province, China

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Rheumatol & Immunol, Wuhan 430030, Hubei, Peoples R China [2]Jingzhou City Cent Hosp Hubei Prov, Jingzhou, Hubei, Peoples R China [3]Wuhan Univ Sci & Technol, Xiaogan Hosp, Dept Rheumatol, Xiaogan, Hubei, Peoples R China [4]China Three Gorges Univ, Coll Clin Med Sci 1, Yichang, Hubei, Peoples R China [5]Wuhan Univ, Zhongnan Hosp, Dept Rheumatol, Wuhan, Hubei, Peoples R China [6]Xiangyang Cent Hosp, Dept Rheumatol & Immunol, Xiangyang, Hubei, Peoples R China [7]Wuhan Cent Hosp, Dept Rheumatol & Immunol, Wuhan, Hubei, Peoples R China [8]Gen Hosp Cent Theater Command, Dept Integrated Treatment, Wuhan, Hubei, Peoples R China [9]Wuhan Univ Sci & Technol, Wuhan Puren Hosp, Dept Rheumatol & Immunol, Wuhan, Hubei, Peoples R China [10]Wuhan Univ Sci & Technol, Tianyou Hosp, Dept Rheumatol & Immunol, Wuhan, Hubei, Peoples R China [11]Wuhan Univ, Renmin Hosp, Dept Prevent & Hlth Care, Wuhan, Hubei, Peoples R China [12]Hubei Univ Med, Peoples Hosp 1, Dept Rheumatol & Immunol, Shiyan, Hubei, Peoples R China [13]Hubei Univ Med, Affliated Dongfeng Hosp, Dept Rheumatol & Immunol, Shiyan, Hubei, Peoples R China [14]First Peoples Hosp Jingzhou, Dept Rheumatol & Immunol, Jingzhou, Hubei, Peoples R China [15]Huangshi Cent Hosp, Dept Rheumatol & Immunol, Edong Healthcare Grp, Huangshi, Hubei, Peoples R China [16]Hankou Hosp Wuhan, Dept Rheumatol & Immunol, Wuhan, Hubei, Peoples R China [17]Xiaogan First Peoples Hosp, Dept Endocrinol, Xiaogan, Hubei, Peoples R China [18]China Resources & Wisco Gen Hosp, Dept Rheumatol & Immunol, Wuhan, Hubei, Peoples R China [19]First Peoples Hosp Tianmen, Dept Rheumatol & Immunol, Tianmen, Hubei, Peoples R China [20]Enshi Tujia & Miao Autonomous Prefecture Cent Hos, Dept Nephrol & Rheumatol, Enshi, Hubei, Peoples R China [21]Hubei Minzu Univ, Minda Hosp, Dept Rheumatol & Immunol, Enshi, Hubei, Peoples R China [22]Huanggang Cent Hosp, Dept Rheumatol & Immunol, Huanggang 438000, Hubei, Peoples R China [23]Wuhan 1 Hosp, Dept Rheumatol & Immunol, Wuhan 430070, Hubei, Peoples R China
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关键词: connective tissue disease COVID-19 hydroxychloroquine rheumatic disease SARS-CoV-2

摘要:
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.

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大类 | 1 区 医学
小类 | 1 区 医学:研究与实验
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Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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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
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