COVID-19是自身免疫性风湿性疾病的触发因素:这是一个经过时间检验的假设。

IF 3.2 3区 医学 Q2 RHEUMATOLOGY
Aisulu Karkabayeva, Khilola Mirakhmedova, Shoira Khusinova, Abdimutalib Mamasaidov, Chokan Baimukhamedov
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引用次数: 0

摘要

我们讨论了最近发表在《国际风湿病学》上的论文。本文回顾了2019冠状病毒病大流行期间(2020-2023年)自身免疫性风湿性疾病(ARD)的流行情况,并与大流行前(2016-2019年)进行了比较。我们假设SARS-CoV-2触发ARD。这项研究涉及希腊的1000万人口,这项工作令人信服地证实了我们的假设。此外,四项大型队列研究表明,在COVID-19存活后,自身免疫性疾病的发病率增加。与大流行前相比,所有ARD均有所增加,指数研究中的RA增长在大流行期间达到20%以上的水平。我们的报告也观察到类似的趋势,涉及四个中亚共和国,即哈萨克斯坦、吉尔吉斯斯坦、乌兹别克斯坦和塔吉克斯坦。由于大流行的后果,急性呼吸窘迫综合征的惊人增长在未来几年仍然可以预测。世界各地的医疗保健专业人员应该意识到这一假设,以规划他们的COVID-19、长COVID和ARD诊断和治疗策略。我们同意索引文章作者的观点,在这个充满挑战的时代,需要更多的资源和研究来优化ARDs的诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 is a trigger of autoimmune rheumatic diseases: a hypothesis tested over time.

We discuss the paper recently published in Rheumatology Internationa. This article reflects on the prevalence of autoimmune rheumatic diseases (ARD) during the COVID-19 pandemic (2020-2023) and compares the same with the pre-pandemic period (2016-2019). We assume that SARS-CoV-2 triggers ARD. This study concerns the 10 million population of Greece, and this work convincingly confirms our hypothesis. Besides, four large cohort studies have demonstrated an increased incidence of autoimmune diseases after surviving COVID-19. Compared to the prepandemic period, all ARD increased, and RA growth in the index study reached a level of more than 20% during the pandemic. A similar trend was observed in our report covering four Central Asian republics, namely Kazakhstan, Kyrgyzstan, Uzbekistan, and Tajikistan. The alarming growth of ARDs due to the consequences of the pandemic can still be predicted for the coming years. Healthcare professionals worldwide should be aware of this hypothesis to plan their COVID-19, long COVID, and ARD diagnostic and therapeutic strategies. We agree with the authors of the index article that more resources and research studies are warranted to optimize the diagnosis and treatment of ARDs in this challenging time.

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来源期刊
Rheumatology International
Rheumatology International 医学-风湿病学
CiteScore
7.30
自引率
5.00%
发文量
191
审稿时长
16. months
期刊介绍: RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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