Article: COVID-19 in der rheumatologischen Routineversorgung.
2021 Volume 20, Issue 6, Page(s) 267–271
Abstract: Since the first case of coronavirus infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the associated COVID-19 (corona virus disease 2019) it has become a worldwide pandemic. This leads to persistent and far-reaching ... ...
| Title translation | COVID-19 in Routine Rheumatologic Care. |
|---|---|
| Abstract | Since the first case of coronavirus infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) and the associated COVID-19 (corona virus disease 2019) it has become a worldwide pandemic. This leads to persistent and far-reaching consequences for the health system and society as a whole. Our patients with inflammatory rheumatic diseases were initially considered to be at high risk of contracting SARS-CoV‑2, especially if they were on immunosuppressive and/or immunomodulatory therapy (DMARD). It was assumed that a severe COVID-19 course could occur in case of infection. Although PCR diagnosis is generally considered the gold standard for early diagnosis of active infection with SARS-CoV‑2, it has been shown that it should not always be used to confirm the diagnosis of COVID-19. Therefore, complementary antibody testing for SARS-CoV‑2 could be useful in cases of clinical suspicion and negative PCR for diagnostic confirmation of COVID-19, even retrospectively. Apparently, patients with inflammatory rheumatic disease and under DMARD therapy are not particularly at risk in case of SARS-CoV‑2 infection. Whether this is due to better hygiene measures or increased contact restrictions of patients with underlying inflammatory rheumatic disease, or whether ongoing DMARD therapy offers some protection against a severe course of COVID-19, is still to be clarified. The important questions about the tolerability and efficacy of COVID-19 vaccination have yet to be answered. In summary, there is still a clear need for research to better advise our patients. |
| Language | German |
| Publishing date | 2021-11-01 |
| Publishing country | Austria |
| Document type | English Abstract ; Journal Article |
| ZDB-ID | 2612368-X |
| ISSN | 2191-2610 ; 1868-260X |
| ISSN (online) | 2191-2610 |
| ISSN | 1868-260X |
| DOI | 10.1007/s12688-021-00474-3 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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