2021
DOI: 10.1007/s11845-021-02545-y
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There are similarities between rheumatic disease with lung involvement and COVID-19 pneumonia

Abstract: Introduction There is considerable overlap between the clinical manifestations of covid-19 pneumonia and the acute interstitial lung disease seen in certain rheumatic disorders. In addition, pulmonary fibrosis is increasingly recognised as a potentially serious consequence of both. Methods This review explores this overlap of clinical features, risk factors and causation, offering insights into the immune mechanisms that contribute to both sets of disorders. Results The therapeutic role of immunosuppression an… Show more

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Cited by 7 publications
(4 citation statements)
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“…Considering that some similarities could be found between interstitial lung disease developing after SARS-CoV-2 infection and in some autoimmunological diseases, it is recently hypothesized that immunosuppressive and biologic agents could play a therapeutic role in the treatment of COVID-19 patients [ 82 ]. Similarities between idiopathic pulmonary fibrosis (IPF) and pneumonitis in the course of COVID-19 are also observed; thus, antifibrotic drugs, as used in IPF treatment, are deemed to be used [ 83 , 84 ].…”
Section: Pulmonary Complications Of Covid-19mentioning
confidence: 99%
“…Considering that some similarities could be found between interstitial lung disease developing after SARS-CoV-2 infection and in some autoimmunological diseases, it is recently hypothesized that immunosuppressive and biologic agents could play a therapeutic role in the treatment of COVID-19 patients [ 82 ]. Similarities between idiopathic pulmonary fibrosis (IPF) and pneumonitis in the course of COVID-19 are also observed; thus, antifibrotic drugs, as used in IPF treatment, are deemed to be used [ 83 , 84 ].…”
Section: Pulmonary Complications Of Covid-19mentioning
confidence: 99%
“…Coronaviruses use membrane ACE2 receptors to enter human cells. At the same time, ACE2 is also highly expressed in lung cells of patients with RA-related interstitial lung disease (ILD), and patients with RA and ILD are more susceptible to high inflammation and acute lung injury than the general population 17 , 18 . In addition, RA-ILD and COVID-19-infected lung lesions have remarkable similarities in epidemiological, clinical, and immunological characteristics.…”
Section: Discussionmentioning
confidence: 99%
“…Новые проблемы диагностики и лечения РА-ИЗЛ возникли в период пандемии COVID-19. Во-первых, поражение легких (по данным КТВР) при РА-ИЗЛ имеет сходные черты с COVID-19-пневмонией [207,208]; во-вторых, у пациентов с РА-ИЗЛ наблюдается тяжелое течение COVID-19 [209][210][211][212], а инфекция SARS-CoV-2 может индуцировать развитие О-РА-ИЗЛ [213,214]. Хотя ГК, ингибиторы ИЛ-6 и ингибиторы JAK широко применяются для лечения COVID-19-ассоциированного гипервоспалительного синдрома [215], данные регистров свидетельствуют о возможном риске инфицирования вирусом SARS-CoV-2 и тяжелого течения COVID-19 у пациентов РА, получающих ГК, ингибиторы JAK и особенно РТМ [216,217].…”
Section: ревматоидный артритunclassified