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Rheumatol Int . COVID-19 outcomes in patients with familial Mediterranean fever: a retrospective cohort study

tetano

Editor, Senior Moderator
Rheumatol Int


. 2021 Feb 21.
doi: 10.1007/s00296-021-04812-8. Online ahead of print.
COVID-19 outcomes in patients with familial Mediterranean fever: a retrospective cohort study


Serdar Can G?ven[SUP] 1 [/SUP], Abdulsamet Erden[SUP] 2 [/SUP], ?zlem Karakaş[SUP] 2 [/SUP], Berkan Armağan[SUP] 2 [/SUP], Eren Usul[SUP] 3 [/SUP], Ahmet Omma[SUP] 2 [/SUP], Orhan K???kşahin[SUP] 4 [/SUP]



Affiliations

Abstract

Aim of this study is to investigate the course of coronavirus disease 2019 (COVID-19), in our cohort of familial Mediterranean fever (FMF) patients in means of mortality, admission to hospital and/or intensive care unit and length of hospital stay.A retrospective cohort was formed from patients who have previously been followed with a diagnosis of FMF. Patients of this cohort were retrospectively evaluated for a positive severe acute respiratory syndrome-coronavirus 2 (SARS-CoV 2) polymerized chain reaction (PCR) test result and information regarding hospitalisation, intensive care unit admission and mortality were collected from medical records.Out of a total 496 FMF patients, 34 were detected to have a positive SARS-CoV 2 PCR test. Eighty-five point three percent of these patients were under colchicine treatment and 17.6% were under interleukin (IL)-1 inhibitor treatment. Eight of the 34 patients (23.9%) were found to be hospitalized, one of them was admitted to the intensive care unit and died thereafter (2.9%). An increasing trend in the frequency of comorbid diseases (presence of at least one comorbidity 64.7% in all patients vs 75.0% in hospitalized patients) and IL-1 inhibitor usage (17.6% in all patients vs 50.0% in hospitalized patients) was observed in hospitalized patients.Rates of comorbid diseases and IL-1 inhibitor use for FMF were observed to be increased in FMF patients hospitalized for COVID-19.

Keywords: Coronavirus; Familial; Fever; Mediterranean; Outcome.
 
Rheumatol Int


. 2021 Feb 21.
doi: 10.1007/s00296-021-04809-3. Online ahead of print.
COVID-19 in patients with familial Mediterranean fever treated with colchicine: case based review


Kemal Nas[SUP] 1 [/SUP], Nuran Eryilmaz[SUP] 2 [/SUP], Mehmet Faruk Geyik[SUP] 3 [/SUP], Ayfer Altaş[SUP] 4 [/SUP]



Affiliations

Abstract

Coronavirus disease 2019 (COVID-19) refers to the clinical picture of an important and severe infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Considering the current knowledge on the pathophysiology and clinical manifestations of COVID-19, it is safe to state that both COVID-19 and inflammatory rheumatic disorders cause a cytokine storm and merit treatment with anti-rheumatic drugs. Three patients, who were on regular follow-up due to the diagnosis of familial Mediterranean fever (FMF), contracted COVID-19 infection; and their pre-clinical and post-clinical data as well as laboratory, prognosis and treatment data were investigated. Effects of colchicine in FMF patients who contracted COVID-19 infection were presented in this study. All the cases recovered from COVID-19 without complications. The present study suggests that colchicine can positively affect the prognosis of COVID-19 in FMF patients; therefore, experience of rheumatologists in the use of anti-inflammatory drugs can be highly instrumental in management of COVID-19 patients.

Keywords: COVID-19; Clinical course; Colchicine; Familial Mediterranean fever.
 
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