Serveur d'exploration sur la COVID en France

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Risk and management of patients with mastocytosis and MCAS in the SARS-CoV-2 (COVID-19) pandemic: Expert opinions.

Identifieur interne : 000713 ( Main/Exploration ); précédent : 000712; suivant : 000714

Risk and management of patients with mastocytosis and MCAS in the SARS-CoV-2 (COVID-19) pandemic: Expert opinions.

Auteurs : Peter Valent [Autriche] ; Cem Akin ; Patrizia Bonadonna [Italie] ; Knut Brockow [Allemagne] ; Marek Niedoszytko [Pologne] ; Boguslaw Nedoszytko [Pologne] ; Joseph H. Butterfield ; Ivan Alvarez-Twose [Espagne] ; Karl Sotlar [Autriche] ; Juliana Schwaab [Allemagne] ; Mohamad Jawhar [Allemagne] ; Andreas Reiter [Allemagne] ; Mariana Castells ; Wolfgang R. Sperr [Autriche] ; Hanneke C. Kluin-Nelemans [Pays-Bas] ; Olivier Hermine [France] ; Jason Gotlib ; Roberta Zanotti [Italie] ; Sigurd Broesby-Olsen [Danemark] ; Hans-Peter Horny [Allemagne] ; Massimo Triggiani [Italie] ; Frank Siebenhaar [Allemagne] ; Alberto Orfao [Espagne] ; Dean D. Metcalfe [Allemagne] ; Michel Arock [France] ; Karin Hartmann [Suisse]

Source :

RBID : pubmed:32561389

Descripteurs français

English descriptors

Abstract

The coronavirus disease 2019 (COVID-19) (caused by severe acute respiratory syndrome coronavirus 2) pandemic has massively distorted our health care systems and caused catastrophic consequences in our affected communities. The number of victims continues to increase, and patients at risk can only be protected to a degree, because the virulent state may be asymptomatic. Risk factors concerning COVID-19-induced morbidity and mortality include advanced age, an impaired immune system, cardiovascular or pulmonary diseases, obesity, diabetes mellitus, and cancer treated with chemotherapy. Here, we discuss the risk and impact of COVID-19 in patients with mastocytosis and mast cell activation syndromes. Because no published data are yet available, expert opinions are, by necessity, based on case experience and reports from patients. Although the overall risk to acquire the severe acute respiratory syndrome coronavirus 2 may not be elevated in mast cell disease, certain conditions may increase the risk of infected patients to develop severe COVID-19. These factors include certain comorbidities, mast cell activation-related events affecting the cardiovascular or bronchopulmonary system, and chemotherapy or immunosuppressive drugs. Therefore, such treatments should be carefully evaluated on a case-by-case basis during a COVID-19 infection. In contrast, other therapies, such as anti-mediator-type drugs, venom immunotherapy, or vitamin D, should be continued. Overall, patients with mast cell disorders should follow the general and local guidelines in the COVID-19 pandemic and advice from their medical provider.

DOI: 10.1016/j.jaci.2020.06.009
PubMed: 32561389
PubMed Central: PMC7297685


Affiliations:


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Le document en format XML

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<name sortKey="Nedoszytko, Boguslaw" sort="Nedoszytko, Boguslaw" uniqKey="Nedoszytko B" first="Boguslaw" last="Nedoszytko">Boguslaw Nedoszytko</name>
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<name sortKey="Butterfield, Joseph H" sort="Butterfield, Joseph H" uniqKey="Butterfield J" first="Joseph H" last="Butterfield">Joseph H. Butterfield</name>
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<name sortKey="Alvarez Twose, Ivan" sort="Alvarez Twose, Ivan" uniqKey="Alvarez Twose I" first="Ivan" last="Alvarez-Twose">Ivan Alvarez-Twose</name>
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<name sortKey="Jawhar, Mohamad" sort="Jawhar, Mohamad" uniqKey="Jawhar M" first="Mohamad" last="Jawhar">Mohamad Jawhar</name>
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<name sortKey="Reiter, Andreas" sort="Reiter, Andreas" uniqKey="Reiter A" first="Andreas" last="Reiter">Andreas Reiter</name>
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<name sortKey="Castells, Mariana" sort="Castells, Mariana" uniqKey="Castells M" first="Mariana" last="Castells">Mariana Castells</name>
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<name sortKey="Sperr, Wolfgang R" sort="Sperr, Wolfgang R" uniqKey="Sperr W" first="Wolfgang R" last="Sperr">Wolfgang R. Sperr</name>
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<wicri:regionArea>Department of Internal Medicine I, Division of Haematology and Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna</wicri:regionArea>
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<settlement type="city">Vienne (Autriche)</settlement>
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<name sortKey="Kluin Nelemans, Hanneke C" sort="Kluin Nelemans, Hanneke C" uniqKey="Kluin Nelemans H" first="Hanneke C" last="Kluin-Nelemans">Hanneke C. Kluin-Nelemans</name>
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<nlm:affiliation>Department of Haematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Haematology, University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea>
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<name sortKey="Hermine, Olivier" sort="Hermine, Olivier" uniqKey="Hermine O" first="Olivier" last="Hermine">Olivier Hermine</name>
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<nlm:affiliation>Imagine Institute Université Paris Descartes, Sorbonne, Paris Cité, Centre national de référence des mastocytoses, Paris, France.</nlm:affiliation>
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<wicri:regionArea>Imagine Institute Université Paris Descartes, Sorbonne, Paris Cité, Centre national de référence des mastocytoses, Paris</wicri:regionArea>
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<name sortKey="Gotlib, Jason" sort="Gotlib, Jason" uniqKey="Gotlib J" first="Jason" last="Gotlib">Jason Gotlib</name>
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<nlm:affiliation>Stanford Cancer Institute/Stanford University School of Medicine, Stanford, Calif.</nlm:affiliation>
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<name sortKey="Zanotti, Roberta" sort="Zanotti, Roberta" uniqKey="Zanotti R" first="Roberta" last="Zanotti">Roberta Zanotti</name>
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<nlm:affiliation>Department of Medicine, Section of Hematology, University of Verona, Verona, Italy.</nlm:affiliation>
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<name sortKey="Broesby Olsen, Sigurd" sort="Broesby Olsen, Sigurd" uniqKey="Broesby Olsen S" first="Sigurd" last="Broesby-Olsen">Sigurd Broesby-Olsen</name>
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<nlm:affiliation>Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Dermatology and Allergy Centre, Odense University Hospital, Odense</wicri:regionArea>
<wicri:noRegion>Odense</wicri:noRegion>
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<name sortKey="Horny, Hans Peter" sort="Horny, Hans Peter" uniqKey="Horny H" first="Hans-Peter" last="Horny">Hans-Peter Horny</name>
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<nlm:affiliation>Institute of Pathology, Ludwig-Maximilian-University, Munich, Germany.</nlm:affiliation>
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<name sortKey="Triggiani, Massimo" sort="Triggiani, Massimo" uniqKey="Triggiani M" first="Massimo" last="Triggiani">Massimo Triggiani</name>
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<name sortKey="Siebenhaar, Frank" sort="Siebenhaar, Frank" uniqKey="Siebenhaar F" first="Frank" last="Siebenhaar">Frank Siebenhaar</name>
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<nlm:affiliation>Dermatological Allergology, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<region type="land" nuts="3">Berlin</region>
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<name sortKey="Orfao, Alberto" sort="Orfao, Alberto" uniqKey="Orfao A" first="Alberto" last="Orfao">Alberto Orfao</name>
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<nlm:affiliation>Servicio Central de Citometria, Centro de Investigacion del Cancer (IBMCC; CSIC/USAL), IBSAL, CIBERONC and Department of Medicine, University of Salamanca, Salamanca, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Servicio Central de Citometria, Centro de Investigacion del Cancer (IBMCC; CSIC/USAL), IBSAL, CIBERONC and Department of Medicine, University of Salamanca, Salamanca</wicri:regionArea>
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<name sortKey="Metcalfe, Dean D" sort="Metcalfe, Dean D" uniqKey="Metcalfe D" first="Dean D" last="Metcalfe">Dean D. Metcalfe</name>
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<nlm:affiliation>Department of Dermatology & Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Dermatology & Allergy, Charité Universitätsmedizin Berlin, Berlin</wicri:regionArea>
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<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
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<name sortKey="Arock, Michel" sort="Arock, Michel" uniqKey="Arock M" first="Michel" last="Arock">Michel Arock</name>
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<nlm:affiliation>Department of Hematological Biology, Pitié-Salpêtrière Hospital, Pierre et Marie Curie University (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Hematological Biology, Pitié-Salpêtrière Hospital, Pierre et Marie Curie University (UPMC), Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
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<name sortKey="Hartmann, Karin" sort="Hartmann, Karin" uniqKey="Hartmann K" first="Karin" last="Hartmann">Karin Hartmann</name>
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<nlm:affiliation>Division of Allergy, Department of Dermatology, and Department of Biomedicine, University of Basel, Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Division of Allergy, Department of Dermatology, and Department of Biomedicine, University of Basel, Basel</wicri:regionArea>
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<name sortKey="Bonadonna, Patrizia" sort="Bonadonna, Patrizia" uniqKey="Bonadonna P" first="Patrizia" last="Bonadonna">Patrizia Bonadonna</name>
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<name sortKey="Brockow, Knut" sort="Brockow, Knut" uniqKey="Brockow K" first="Knut" last="Brockow">Knut Brockow</name>
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<nlm:affiliation>Department of Dermatology and Allergy Biederstein, Technical University of Munich, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Dermatology and Allergy Biederstein, Technical University of Munich, Munich</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bavière</region>
<region type="district" nuts="2">District de Haute-Bavière</region>
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<name sortKey="Niedoszytko, Marek" sort="Niedoszytko, Marek" uniqKey="Niedoszytko M" first="Marek" last="Niedoszytko">Marek Niedoszytko</name>
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<nlm:affiliation>Department of Allergology, Medical University of Gdansk, Gdansk, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Allergology, Medical University of Gdansk, Gdansk</wicri:regionArea>
<wicri:noRegion>Gdansk</wicri:noRegion>
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<name sortKey="Nedoszytko, Boguslaw" sort="Nedoszytko, Boguslaw" uniqKey="Nedoszytko B" first="Boguslaw" last="Nedoszytko">Boguslaw Nedoszytko</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Dermatology, Medical University of Gdansk, Gdansk, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Dermatology, Medical University of Gdansk, Gdansk</wicri:regionArea>
<wicri:noRegion>Gdansk</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Butterfield, Joseph H" sort="Butterfield, Joseph H" uniqKey="Butterfield J" first="Joseph H" last="Butterfield">Joseph H. Butterfield</name>
<affiliation>
<nlm:affiliation>Mayo Clinic, Division of Allergic Diseases, Rochester, Minn.</nlm:affiliation>
<wicri:noCountry code="subField">Minn</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Alvarez Twose, Ivan" sort="Alvarez Twose, Ivan" uniqKey="Alvarez Twose I" first="Ivan" last="Alvarez-Twose">Ivan Alvarez-Twose</name>
<affiliation wicri:level="1">
<nlm:affiliation>Instituto de Estudios de Mastocitosis de Castilla La Mancha (CLMast) and CIBERONC, Hospital Virgen del Valle, Toledo, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Instituto de Estudios de Mastocitosis de Castilla La Mancha (CLMast) and CIBERONC, Hospital Virgen del Valle, Toledo</wicri:regionArea>
<wicri:noRegion>Toledo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sotlar, Karl" sort="Sotlar, Karl" uniqKey="Sotlar K" first="Karl" last="Sotlar">Karl Sotlar</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute of Pathology, Paracelsus Medical University Salzburg, Salzburg, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Institute of Pathology, Paracelsus Medical University Salzburg, Salzburg</wicri:regionArea>
<wicri:noRegion>Salzburg</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Schwaab, Juliana" sort="Schwaab, Juliana" uniqKey="Schwaab J" first="Juliana" last="Schwaab">Juliana Schwaab</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Mannheim</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jawhar, Mohamad" sort="Jawhar, Mohamad" uniqKey="Jawhar M" first="Mohamad" last="Jawhar">Mohamad Jawhar</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Mannheim</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Reiter, Andreas" sort="Reiter, Andreas" uniqKey="Reiter A" first="Andreas" last="Reiter">Andreas Reiter</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Hematology and Oncology, University Hospital Mannheim, Mannheim</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Mannheim</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Castells, Mariana" sort="Castells, Mariana" uniqKey="Castells M" first="Mariana" last="Castells">Mariana Castells</name>
<affiliation>
<nlm:affiliation>Brigham and Women's Hospital, Mastocytosis Center, Harvard Medical School, Boston, Mass.</nlm:affiliation>
<wicri:noCountry code="subField">Mass</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Sperr, Wolfgang R" sort="Sperr, Wolfgang R" uniqKey="Sperr W" first="Wolfgang R" last="Sperr">Wolfgang R. Sperr</name>
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<nlm:affiliation>Department of Internal Medicine I, Division of Haematology and Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Department of Internal Medicine I, Division of Haematology and Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna</wicri:regionArea>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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<author>
<name sortKey="Kluin Nelemans, Hanneke C" sort="Kluin Nelemans, Hanneke C" uniqKey="Kluin Nelemans H" first="Hanneke C" last="Kluin-Nelemans">Hanneke C. Kluin-Nelemans</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Haematology, University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea>
<placeName>
<settlement type="city">Groningue</settlement>
<region nuts="2" type="province">Groningue (province)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hermine, Olivier" sort="Hermine, Olivier" uniqKey="Hermine O" first="Olivier" last="Hermine">Olivier Hermine</name>
<affiliation wicri:level="4">
<nlm:affiliation>Imagine Institute Université Paris Descartes, Sorbonne, Paris Cité, Centre national de référence des mastocytoses, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Imagine Institute Université Paris Descartes, Sorbonne, Paris Cité, Centre national de référence des mastocytoses, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
<orgName type="university">Université Paris-Descartes</orgName>
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<author>
<name sortKey="Gotlib, Jason" sort="Gotlib, Jason" uniqKey="Gotlib J" first="Jason" last="Gotlib">Jason Gotlib</name>
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<nlm:affiliation>Stanford Cancer Institute/Stanford University School of Medicine, Stanford, Calif.</nlm:affiliation>
<wicri:noCountry code="subField">Calif</wicri:noCountry>
</affiliation>
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<author>
<name sortKey="Zanotti, Roberta" sort="Zanotti, Roberta" uniqKey="Zanotti R" first="Roberta" last="Zanotti">Roberta Zanotti</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Medicine, Section of Hematology, University of Verona, Verona, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Medicine, Section of Hematology, University of Verona, Verona</wicri:regionArea>
<wicri:noRegion>Verona</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Broesby Olsen, Sigurd" sort="Broesby Olsen, Sigurd" uniqKey="Broesby Olsen S" first="Sigurd" last="Broesby-Olsen">Sigurd Broesby-Olsen</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Dermatology and Allergy Centre, Odense University Hospital, Odense</wicri:regionArea>
<wicri:noRegion>Odense</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Horny, Hans Peter" sort="Horny, Hans Peter" uniqKey="Horny H" first="Hans-Peter" last="Horny">Hans-Peter Horny</name>
<affiliation wicri:level="3">
<nlm:affiliation>Institute of Pathology, Ludwig-Maximilian-University, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute of Pathology, Ludwig-Maximilian-University, Munich</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bavière</region>
<region type="district" nuts="2">District de Haute-Bavière</region>
<settlement type="city">Munich</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Triggiani, Massimo" sort="Triggiani, Massimo" uniqKey="Triggiani M" first="Massimo" last="Triggiani">Massimo Triggiani</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Division of Allergy and Clinical Immunology, University of Salerno, Salerno</wicri:regionArea>
<wicri:noRegion>Salerno</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Siebenhaar, Frank" sort="Siebenhaar, Frank" uniqKey="Siebenhaar F" first="Frank" last="Siebenhaar">Frank Siebenhaar</name>
<affiliation wicri:level="3">
<nlm:affiliation>Dermatological Allergology, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Dermatological Allergology, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt - Universität zu Berlin, and Berlin Institute of Health, Berlin</wicri:regionArea>
<placeName>
<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
</placeName>
</affiliation>
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<author>
<name sortKey="Orfao, Alberto" sort="Orfao, Alberto" uniqKey="Orfao A" first="Alberto" last="Orfao">Alberto Orfao</name>
<affiliation wicri:level="1">
<nlm:affiliation>Servicio Central de Citometria, Centro de Investigacion del Cancer (IBMCC; CSIC/USAL), IBSAL, CIBERONC and Department of Medicine, University of Salamanca, Salamanca, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Servicio Central de Citometria, Centro de Investigacion del Cancer (IBMCC; CSIC/USAL), IBSAL, CIBERONC and Department of Medicine, University of Salamanca, Salamanca</wicri:regionArea>
<wicri:noRegion>Salamanca</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Metcalfe, Dean D" sort="Metcalfe, Dean D" uniqKey="Metcalfe D" first="Dean D" last="Metcalfe">Dean D. Metcalfe</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Dermatology & Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Dermatology & Allergy, Charité Universitätsmedizin Berlin, Berlin</wicri:regionArea>
<placeName>
<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Arock, Michel" sort="Arock, Michel" uniqKey="Arock M" first="Michel" last="Arock">Michel Arock</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Hematological Biology, Pitié-Salpêtrière Hospital, Pierre et Marie Curie University (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Hematological Biology, Pitié-Salpêtrière Hospital, Pierre et Marie Curie University (UPMC), Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hartmann, Karin" sort="Hartmann, Karin" uniqKey="Hartmann K" first="Karin" last="Hartmann">Karin Hartmann</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Allergy, Department of Dermatology, and Department of Biomedicine, University of Basel, Basel, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Division of Allergy, Department of Dermatology, and Department of Biomedicine, University of Basel, Basel</wicri:regionArea>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
</analytic>
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<title level="j">The Journal of allergy and clinical immunology</title>
<idno type="eISSN">1097-6825</idno>
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<date when="2020" type="published">2020</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Betacoronavirus (immunology)</term>
<term>Betacoronavirus (pathogenicity)</term>
<term>Comorbidity (MeSH)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (pathology)</term>
<term>Diphosphonates (therapeutic use)</term>
<term>Disease Management (MeSH)</term>
<term>Expert Testimony (MeSH)</term>
<term>Glucocorticoids (adverse effects)</term>
<term>Histamine Antagonists (therapeutic use)</term>
<term>Humans (MeSH)</term>
<term>Immunosuppressive Agents (adverse effects)</term>
<term>Mast Cells (drug effects)</term>
<term>Mast Cells (immunology)</term>
<term>Mast Cells (pathology)</term>
<term>Mastocytosis, Cutaneous (diagnosis)</term>
<term>Mastocytosis, Cutaneous (drug therapy)</term>
<term>Mastocytosis, Cutaneous (epidemiology)</term>
<term>Mastocytosis, Cutaneous (pathology)</term>
<term>Mastocytosis, Systemic (diagnosis)</term>
<term>Mastocytosis, Systemic (drug therapy)</term>
<term>Mastocytosis, Systemic (epidemiology)</term>
<term>Mastocytosis, Systemic (pathology)</term>
<term>Myeloablative Agonists (adverse effects)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (pathology)</term>
<term>Precision Medicine (methods)</term>
<term>Risk Factors (MeSH)</term>
<term>Vitamin D (therapeutic use)</term>
</keywords>
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<term>Agonistes myélo-ablatifs (effets indésirables)</term>
<term>Antihistaminiques (usage thérapeutique)</term>
<term>Betacoronavirus (immunologie)</term>
<term>Betacoronavirus (pathogénicité)</term>
<term>Comorbidité (MeSH)</term>
<term>Diphosphonates (usage thérapeutique)</term>
<term>Expertise (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Glucocorticoïdes (effets indésirables)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (effets indésirables)</term>
<term>Infections à coronavirus (anatomopathologie)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Mastocytes (anatomopathologie)</term>
<term>Mastocytes (effets des médicaments et des substances chimiques)</term>
<term>Mastocytes (immunologie)</term>
<term>Mastocytose cutanée (anatomopathologie)</term>
<term>Mastocytose cutanée (diagnostic)</term>
<term>Mastocytose cutanée (traitement médicamenteux)</term>
<term>Mastocytose cutanée (épidémiologie)</term>
<term>Mastocytose généralisée (anatomopathologie)</term>
<term>Mastocytose généralisée (diagnostic)</term>
<term>Mastocytose généralisée (traitement médicamenteux)</term>
<term>Mastocytose généralisée (épidémiologie)</term>
<term>Médecine de précision (méthodes)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (anatomopathologie)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Prise en charge de la maladie (MeSH)</term>
<term>Vitamine D (usage thérapeutique)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Glucocorticoids</term>
<term>Immunosuppressive Agents</term>
<term>Myeloablative Agonists</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Diphosphonates</term>
<term>Histamine Antagonists</term>
<term>Vitamin D</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Mastocytes</term>
<term>Mastocytose cutanée</term>
<term>Mastocytose généralisée</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Mastocytosis, Cutaneous</term>
<term>Mastocytosis, Systemic</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Mastocytose cutanée</term>
<term>Mastocytose généralisée</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Mast Cells</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Mastocytosis, Cutaneous</term>
<term>Mastocytosis, Systemic</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des médicaments et des substances chimiques" xml:lang="fr">
<term>Mastocytes</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Agonistes myélo-ablatifs</term>
<term>Glucocorticoïdes</term>
<term>Immunosuppresseurs</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Mastocytosis, Cutaneous</term>
<term>Mastocytosis, Systemic</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Betacoronavirus</term>
<term>Mastocytes</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Betacoronavirus</term>
<term>Mast Cells</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Precision Medicine</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Médecine de précision</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Mast Cells</term>
<term>Mastocytosis, Cutaneous</term>
<term>Mastocytosis, Systemic</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Mastocytose cutanée</term>
<term>Mastocytose généralisée</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antihistaminiques</term>
<term>Diphosphonates</term>
<term>Vitamine D</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Mastocytose cutanée</term>
<term>Mastocytose généralisée</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Comorbidity</term>
<term>Disease Management</term>
<term>Expert Testimony</term>
<term>Humans</term>
<term>Pandemics</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Comorbidité</term>
<term>Expertise</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Pandémies</term>
<term>Prise en charge de la maladie</term>
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<front>
<div type="abstract" xml:lang="en">The coronavirus disease 2019 (COVID-19) (caused by severe acute respiratory syndrome coronavirus 2) pandemic has massively distorted our health care systems and caused catastrophic consequences in our affected communities. The number of victims continues to increase, and patients at risk can only be protected to a degree, because the virulent state may be asymptomatic. Risk factors concerning COVID-19-induced morbidity and mortality include advanced age, an impaired immune system, cardiovascular or pulmonary diseases, obesity, diabetes mellitus, and cancer treated with chemotherapy. Here, we discuss the risk and impact of COVID-19 in patients with mastocytosis and mast cell activation syndromes. Because no published data are yet available, expert opinions are, by necessity, based on case experience and reports from patients. Although the overall risk to acquire the severe acute respiratory syndrome coronavirus 2 may not be elevated in mast cell disease, certain conditions may increase the risk of infected patients to develop severe COVID-19. These factors include certain comorbidities, mast cell activation-related events affecting the cardiovascular or bronchopulmonary system, and chemotherapy or immunosuppressive drugs. Therefore, such treatments should be carefully evaluated on a case-by-case basis during a COVID-19 infection. In contrast, other therapies, such as anti-mediator-type drugs, venom immunotherapy, or vitamin D, should be continued. Overall, patients with mast cell disorders should follow the general and local guidelines in the COVID-19 pandemic and advice from their medical provider.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">32561389</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>08</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1097-6825</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>146</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2020</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of allergy and clinical immunology</Title>
<ISOAbbreviation>J. Allergy Clin. Immunol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk and management of patients with mastocytosis and MCAS in the SARS-CoV-2 (COVID-19) pandemic: Expert opinions.</ArticleTitle>
<Pagination>
<MedlinePgn>300-306</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0091-6749(20)30839-3</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jaci.2020.06.009</ELocationID>
<Abstract>
<AbstractText>The coronavirus disease 2019 (COVID-19) (caused by severe acute respiratory syndrome coronavirus 2) pandemic has massively distorted our health care systems and caused catastrophic consequences in our affected communities. The number of victims continues to increase, and patients at risk can only be protected to a degree, because the virulent state may be asymptomatic. Risk factors concerning COVID-19-induced morbidity and mortality include advanced age, an impaired immune system, cardiovascular or pulmonary diseases, obesity, diabetes mellitus, and cancer treated with chemotherapy. Here, we discuss the risk and impact of COVID-19 in patients with mastocytosis and mast cell activation syndromes. Because no published data are yet available, expert opinions are, by necessity, based on case experience and reports from patients. Although the overall risk to acquire the severe acute respiratory syndrome coronavirus 2 may not be elevated in mast cell disease, certain conditions may increase the risk of infected patients to develop severe COVID-19. These factors include certain comorbidities, mast cell activation-related events affecting the cardiovascular or bronchopulmonary system, and chemotherapy or immunosuppressive drugs. Therefore, such treatments should be carefully evaluated on a case-by-case basis during a COVID-19 infection. In contrast, other therapies, such as anti-mediator-type drugs, venom immunotherapy, or vitamin D, should be continued. Overall, patients with mast cell disorders should follow the general and local guidelines in the COVID-19 pandemic and advice from their medical provider.</AbstractText>
<CopyrightInformation>Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Valent</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine I, Division of Haematology and Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria. Electronic address: peter.valent@meduniwien.ac.at.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Akin</LastName>
<ForeName>Cem</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Division of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, Mich.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bonadonna</LastName>
<ForeName>Patrizia</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Allergy Unit, Verona University Hospital, Verona, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Brockow</LastName>
<ForeName>Knut</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Department of Dermatology and Allergy Biederstein, Technical University of Munich, Munich, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Niedoszytko</LastName>
<ForeName>Marek</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Dermatology & Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany.</Affiliation>
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