CovidChloroV1, Main, Corpus, bibRecord, 001609

Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.

Identifieur interne : 001609 ( Main/Corpus ); précédent : 001608; suivant : 001610

Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.

Auteurs : Cong Ye ; Shaozhe Cai ; Guifen Shen ; Hanxiong Guan ; Liling Zhou ; Yangyang Hu ; Wei Tu ; Yu Chen ; Yikai Yu ; Xuefen Wu ; Yuxue Chen ; Jixin Zhong ; Lingli Dong

Source :

Annals of the rheumatic diseases [ 1468-2060 ] ; 2020.

RBID : pubmed:32444415

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), China (MeSH), Coronavirus Infections (complications), Coronavirus Infections (pathology), Coronavirus Infections (virology), Diarrhea (virology), Fatigue (virology), Female (MeSH), Fever (virology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (pathology), Pneumonia, Viral (virology), Respiratory Insufficiency (virology), Retrospective Studies (MeSH), Rheumatic Diseases (virology), SARS-CoV-2 (MeSH), Symptom Flare Up (MeSH).
MESH :
- geographic : China.
- complications : Coronavirus Infections, Pneumonia, Viral.
- pathology : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Diarrhea, Fatigue, Fever, Pneumonia, Viral, Respiratory Insufficiency, Rheumatic Diseases.
- Adult, Aged, Betacoronavirus, COVID-19, Female, Humans, Male, Middle Aged, Pandemics, Retrospective Studies, SARS-CoV-2, Symptom Flare Up.

Abstract

OBJECTIVE

The clinical features of rheumatic patients with coronavirus disease 2019 (COVID-19) have not been reported. This study aimed to describe the clinical features of COVID-19 in rheumatic patients and provide information for handling this situation in clinical practice.

METHODS

This is a retrospective case series study. Deidentified data, including gender, age, laboratory and radiological results, symptoms, signs, and medication history, were collected from 2326 patients diagnosed with COVID-19, including 21 cases in combination with rheumatic disease, in Tongji Hospital between 13 January and 15 March 2020.

RESULTS

Length of hospital stay and mortality rate were similar between rheumatic and non-rheumatic groups, while the presence of respiratory failure was more common in rheumatic cases (38% vs 10%, p<0.001). Symptoms of fever, fatigue and diarrhoea were seen in 76%, 43% and 23% of patients, respectively. There were four rheumatic patients who experienced a flare of rheumatic disease during hospital stay, with symptoms of muscle aches, back pain, joint pain or rash. While lymphocytopaenia was seen in 57% of rheumatic patients, only one patient (5%) presented with leucopenia in rheumatic cases. Rheumatic patients presented with similar radiological features of ground-glass opacity and consolidation. Patients with pre-existing interstitial lung disease showed massive fibrous stripes and crazy-paving signs at an early stage. Five rheumatic cases used hydroxychloroquine before the diagnosis of COVID-19 and none progressed to critically ill stage.

CONCLUSIONS

Respiratory failure was more common in rheumatic patients infected with COVID-19. Differential diagnosis between COVID-19 and a flare of rheumatic disease should be considered.

TRIAL REGISTRATION NUMBER

ChiCTR2000030795.

DOI: 10.1136/annrheumdis-2020-217627
PubMed: 32444415
PubMed Central: PMC7295865

Links to Exploration step

pubmed:32444415

Le document en format XML

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<author><name sortKey="Hu, Yangyang" sort="Hu, Yangyang" uniqKey="Hu Y" first="Yangyang" last="Hu">Yangyang Hu</name>
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<author><name sortKey="Wu, Xuefen" sort="Wu, Xuefen" uniqKey="Wu X" first="Xuefen" last="Wu">Xuefen Wu</name>
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<author><name sortKey="Chen, Yuxue" sort="Chen, Yuxue" uniqKey="Chen Y" first="Yuxue" last="Chen">Yuxue Chen</name>
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<author><name sortKey="Dong, Lingli" sort="Dong, Lingli" uniqKey="Dong L" first="Lingli" last="Dong">Lingli Dong</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.</title>
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</affiliation>
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<author><name sortKey="Cai, Shaozhe" sort="Cai, Shaozhe" uniqKey="Cai S" first="Shaozhe" last="Cai">Shaozhe Cai</name>
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</affiliation>
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<author><name sortKey="Shen, Guifen" sort="Shen, Guifen" uniqKey="Shen G" first="Guifen" last="Shen">Guifen Shen</name>
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</affiliation>
</author>
<author><name sortKey="Guan, Hanxiong" sort="Guan, Hanxiong" uniqKey="Guan H" first="Hanxiong" last="Guan">Hanxiong Guan</name>
<affiliation><nlm:affiliation>Department of Radiology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zhou, Liling" sort="Zhou, Liling" uniqKey="Zhou L" first="Liling" last="Zhou">Liling Zhou</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hu, Yangyang" sort="Hu, Yangyang" uniqKey="Hu Y" first="Yangyang" last="Hu">Yangyang Hu</name>
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</affiliation>
</author>
<author><name sortKey="Tu, Wei" sort="Tu, Wei" uniqKey="Tu W" first="Wei" last="Tu">Wei Tu</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Yu" sort="Chen, Yu" uniqKey="Chen Y" first="Yu" last="Chen">Yu Chen</name>
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</affiliation>
</author>
<author><name sortKey="Yu, Yikai" sort="Yu, Yikai" uniqKey="Yu Y" first="Yikai" last="Yu">Yikai Yu</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wu, Xuefen" sort="Wu, Xuefen" uniqKey="Wu X" first="Xuefen" last="Wu">Xuefen Wu</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Yuxue" sort="Chen, Yuxue" uniqKey="Chen Y" first="Yuxue" last="Chen">Yuxue Chen</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zhong, Jixin" sort="Zhong, Jixin" uniqKey="Zhong J" first="Jixin" last="Zhong">Jixin Zhong</name>
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</affiliation>
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<author><name sortKey="Dong, Lingli" sort="Dong, Lingli" uniqKey="Dong L" first="Lingli" last="Dong">Lingli Dong</name>
<affiliation><nlm:affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China zhongjixin620@163.com tjhdongll@163.com.</nlm:affiliation>
</affiliation>
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<series><title level="j">Annals of the rheumatic diseases</title>
<idno type="eISSN">1468-2060</idno>
<imprint><date when="2020" type="published">2020</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>China (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (pathology)</term>
<term>Coronavirus Infections (virology)</term>
<term>Diarrhea (virology)</term>
<term>Fatigue (virology)</term>
<term>Female (MeSH)</term>
<term>Fever (virology)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (pathology)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Respiratory Insufficiency (virology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Rheumatic Diseases (virology)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Symptom Flare Up (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>China</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Diarrhea</term>
<term>Fatigue</term>
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<term>Pneumonia, Viral</term>
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<term>Betacoronavirus</term>
<term>COVID-19</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>The clinical features of rheumatic patients with coronavirus disease 2019 (COVID-19) have not been reported. This study aimed to describe the clinical features of COVID-19 in rheumatic patients and provide information for handling this situation in clinical practice.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>This is a retrospective case series study. Deidentified data, including gender, age, laboratory and radiological results, symptoms, signs, and medication history, were collected from 2326 patients diagnosed with COVID-19, including 21 cases in combination with rheumatic disease, in Tongji Hospital between 13 January and 15 March 2020.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Length of hospital stay and mortality rate were similar between rheumatic and non-rheumatic groups, while the presence of respiratory failure was more common in rheumatic cases (38% vs 10%, p<0.001). Symptoms of fever, fatigue and diarrhoea were seen in 76%, 43% and 23% of patients, respectively. There were four rheumatic patients who experienced a flare of rheumatic disease during hospital stay, with symptoms of muscle aches, back pain, joint pain or rash. While lymphocytopaenia was seen in 57% of rheumatic patients, only one patient (5%) presented with leucopenia in rheumatic cases. Rheumatic patients presented with similar radiological features of ground-glass opacity and consolidation. Patients with pre-existing interstitial lung disease showed massive fibrous stripes and crazy-paving signs at an early stage. Five rheumatic cases used hydroxychloroquine before the diagnosis of COVID-19 and none progressed to critically ill stage.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Respiratory failure was more common in rheumatic patients infected with COVID-19. Differential diagnosis between COVID-19 and a flare of rheumatic disease should be considered.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION NUMBER</b>
</p>
<p>ChiCTR2000030795.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>07</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-2060</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>79</Volume>
<Issue>8</Issue>
<PubDate><Year>2020</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Annals of the rheumatic diseases</Title>
<ISOAbbreviation>Ann Rheum Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.</ArticleTitle>
<Pagination><MedlinePgn>1007-1013</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/annrheumdis-2020-217627</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">The clinical features of rheumatic patients with coronavirus disease 2019 (COVID-19) have not been reported. This study aimed to describe the clinical features of COVID-19 in rheumatic patients and provide information for handling this situation in clinical practice.</AbstractText>
<AbstractText Label="METHODS">This is a retrospective case series study. Deidentified data, including gender, age, laboratory and radiological results, symptoms, signs, and medication history, were collected from 2326 patients diagnosed with COVID-19, including 21 cases in combination with rheumatic disease, in Tongji Hospital between 13 January and 15 March 2020.</AbstractText>
<AbstractText Label="RESULTS">Length of hospital stay and mortality rate were similar between rheumatic and non-rheumatic groups, while the presence of respiratory failure was more common in rheumatic cases (38% vs 10%, p<0.001). Symptoms of fever, fatigue and diarrhoea were seen in 76%, 43% and 23% of patients, respectively. There were four rheumatic patients who experienced a flare of rheumatic disease during hospital stay, with symptoms of muscle aches, back pain, joint pain or rash. While lymphocytopaenia was seen in 57% of rheumatic patients, only one patient (5%) presented with leucopenia in rheumatic cases. Rheumatic patients presented with similar radiological features of ground-glass opacity and consolidation. Patients with pre-existing interstitial lung disease showed massive fibrous stripes and crazy-paving signs at an early stage. Five rheumatic cases used hydroxychloroquine before the diagnosis of COVID-19 and none progressed to critically ill stage.</AbstractText>
<AbstractText Label="CONCLUSIONS">Respiratory failure was more common in rheumatic patients infected with COVID-19. Differential diagnosis between COVID-19 and a flare of rheumatic disease should be considered.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION NUMBER">ChiCTR2000030795.</AbstractText>
<CopyrightInformation>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Ye</LastName>
<ForeName>Cong</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y" EqualContrib="Y"><LastName>Cai</LastName>
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<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Shen</LastName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Guan</LastName>
<ForeName>Hanxiong</ForeName>
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<AffiliationInfo><Affiliation>Department of Radiology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhou</LastName>
<ForeName>Liling</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hu</LastName>
<ForeName>Yangyang</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tu</LastName>
<ForeName>Wei</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Chen</LastName>
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<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yu</LastName>
<ForeName>Yikai</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wu</LastName>
<ForeName>Xuefen</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Yuxue</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zhong</LastName>
<ForeName>Jixin</ForeName>
<Initials>J</Initials>
<Identifier Source="ORCID">0000-0002-3534-7480</Identifier>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China zhongjixin620@163.com tjhdongll@163.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dong</LastName>
<ForeName>Lingli</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Rheumatology and Immunology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China zhongjixin620@163.com tjhdongll@163.com.</Affiliation>
</AffiliationInfo>
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<Month>05</Month>
<Day>22</Day>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Ann Rheum Dis</MedlineTA>
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Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.

Clinical features of rheumatic patients infected with COVID-19 in Wuhan, China.

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