Serveur d'exploration sur la COVID chez les séniors

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National registry for patients with inflammatory rheumatic diseases (IRD) infected with SARS-CoV-2 in Germany (ReCoVery): a valuable mean to gain rapid and reliable knowledge of the clinical course of SARS-CoV-2 infections in patients with IRD.

Identifieur interne : 000413 ( Main/Exploration ); précédent : 000412; suivant : 000414

National registry for patients with inflammatory rheumatic diseases (IRD) infected with SARS-CoV-2 in Germany (ReCoVery): a valuable mean to gain rapid and reliable knowledge of the clinical course of SARS-CoV-2 infections in patients with IRD.

Auteurs : Rebecca Hasseli [Allemagne] ; Ulf Mueller-Ladner [Allemagne] ; Tim Schmeiser [Allemagne] ; Bimba F. Hoyer [Allemagne] ; Andreas Krause [Allemagne] ; Hanns-Martin Lorenz [Allemagne] ; Anne Constanze Regierer [Allemagne] ; Jutta G. Richter [Allemagne] ; Anja Strangfeld [Allemagne] ; Reinhard E. Voll [Allemagne] ; Alexander Pfeil [Allemagne] ; Hendrik Schulze-Koops [Allemagne] ; Christof Specker [Allemagne]

Source :

RBID : pubmed:32878994

Descripteurs français

English descriptors

Abstract

OBJECTIVES

Patients with inflammatory rheumatic diseases (IRD) infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be at risk to develop a severe course of COVID-19. The influence of immunomodulating drugs on the course of COVID-19 is unknown. To gather knowledge about SARS-CoV-2 infections in patients with IRD, we established a registry shortly after the beginning of the pandemic in Germany.

METHODS

Using an online questionnaire (www.COVID19-rheuma.de), a nationwide database was launched on 30 March 2020, with appropriate ethical and data protection approval to collect data of patients with IRD infected with SARS-CoV-2. In this registry, key clinical and epidemiological parameters-for example, diagnosis of IRD, antirheumatic therapies, comorbidities and course of the infection-are documented.

RESULTS

Until 25 April 2020, data from 104 patients with IRD infected with SARS-CoV-2 were reported (40 males; 63 females; 1 diverse). Most of them (45%) were diagnosed with rheumatoid arthritis, 59% had one or more comorbidities and 42% were treated with biological disease-modifying antirheumatic drugs. Hospitalisation was reported in 32% of the patients. Two-thirds of the patients already recovered. Unfortunately, 6 patients had a fatal course.

CONCLUSIONS

In a short time, a national registry for SARS-CoV2-infected patients with IRD was established. Within 4 weeks, 104 cases were documented. The registry enables to generate data rapidly in this emerging situation and to gain a better understanding of the course of SARS-CoV2-infection in patients with IRD, with a distinct focus on their immunomodulatory therapies. This knowledge is valuable for timely information of physicians and patients with IRD, and shall also serve for the development of guidance for the management of patients with IRD during this pandemic.


DOI: 10.1136/rmdopen-2020-001332
PubMed: 32878994
PubMed Central: PMC7507994


Affiliations:


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<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
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<name sortKey="Lorenz, Hanns Martin" sort="Lorenz, Hanns Martin" uniqKey="Lorenz H" first="Hanns-Martin" last="Lorenz">Hanns-Martin Lorenz</name>
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<nlm:affiliation>Department of Rheumatology, University of Heidelberg, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Rheumatology, University of Heidelberg, Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
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<name sortKey="Regierer, Anne Constanze" sort="Regierer, Anne Constanze" uniqKey="Regierer A" first="Anne Constanze" last="Regierer">Anne Constanze Regierer</name>
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<nlm:affiliation>Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Epidemiology Unit, German Rheumatism Research Centre, Berlin</wicri:regionArea>
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<region type="land" nuts="3">Berlin</region>
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<name sortKey="Richter, Jutta G" sort="Richter, Jutta G" uniqKey="Richter J" first="Jutta G" last="Richter">Jutta G. Richter</name>
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<nlm:affiliation>Department of Rheumatology and Hiller Research Unit, Heinrich-Heine-University, Medical Faculty, Duesseldorf, Germany.</nlm:affiliation>
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<wicri:regionArea>Department of Rheumatology and Hiller Research Unit, Heinrich-Heine-University, Medical Faculty, Duesseldorf</wicri:regionArea>
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<wicri:noRegion>Duesseldorf</wicri:noRegion>
<wicri:noRegion>Duesseldorf</wicri:noRegion>
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<name sortKey="Strangfeld, Anja" sort="Strangfeld, Anja" uniqKey="Strangfeld A" first="Anja" last="Strangfeld">Anja Strangfeld</name>
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<nlm:affiliation>Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Epidemiology Unit, German Rheumatism Research Centre, Berlin</wicri:regionArea>
<placeName>
<region type="land" nuts="3">Berlin</region>
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<name sortKey="Voll, Reinhard E" sort="Voll, Reinhard E" uniqKey="Voll R" first="Reinhard E" last="Voll">Reinhard E. Voll</name>
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<nlm:affiliation>Department of Rheumatology and Clinical Immunology, University Medical Center, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Rheumatology and Clinical Immunology, University Medical Center, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
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<name sortKey="Pfeil, Alexander" sort="Pfeil, Alexander" uniqKey="Pfeil A" first="Alexander" last="Pfeil">Alexander Pfeil</name>
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<nlm:affiliation>Department of Internal Medicine III, University Hospital Jena, Jena, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Internal Medicine III, University Hospital Jena, Jena</wicri:regionArea>
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<name sortKey="Schulze Koops, Hendrik" sort="Schulze Koops, Hendrik" uniqKey="Schulze Koops H" first="Hendrik" last="Schulze-Koops">Hendrik Schulze-Koops</name>
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<nlm:affiliation>Division of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, Munich, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, 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>
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<orgName type="university">Université Louis-et-Maximilien de Munich</orgName>
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<name sortKey="Specker, Christof" sort="Specker, Christof" uniqKey="Specker C" first="Christof" last="Specker">Christof Specker</name>
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<nlm:affiliation>Department of Rheumatology and Clinical Immunology, KEM Kliniken Essen-Mitte,Essen, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Rheumatology and Clinical Immunology, KEM Kliniken Essen-Mitte,Essen</wicri:regionArea>
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<title level="j">RMD open</title>
<idno type="eISSN">2056-5933</idno>
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<date when="2020" type="published">2020</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Antirheumatic Agents (therapeutic use)</term>
<term>Arthritis, Psoriatic (complications)</term>
<term>Arthritis, Psoriatic (drug therapy)</term>
<term>Arthritis, Rheumatoid (complications)</term>
<term>Arthritis, Rheumatoid (drug therapy)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Biological Products (therapeutic use)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (physiopathology)</term>
<term>Female (MeSH)</term>
<term>Germany (MeSH)</term>
<term>Granulomatosis with Polyangiitis (complications)</term>
<term>Granulomatosis with Polyangiitis (drug therapy)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Lupus Erythematosus, Systemic (complications)</term>
<term>Lupus Erythematosus, Systemic (drug therapy)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (mortality)</term>
<term>Pneumonia, Viral (physiopathology)</term>
<term>Polymyalgia Rheumatica (complications)</term>
<term>Polymyalgia Rheumatica (drug therapy)</term>
<term>Prognosis (MeSH)</term>
<term>Registries (MeSH)</term>
<term>Rheumatic Diseases (complications)</term>
<term>Rheumatic Diseases (drug therapy)</term>
<term>Scleroderma, Systemic (complications)</term>
<term>Scleroderma, Systemic (drug therapy)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Spondylitis, Ankylosing (complications)</term>
<term>Spondylitis, Ankylosing (drug therapy)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Allemagne (MeSH)</term>
<term>Antirhumatismaux (usage thérapeutique)</term>
<term>Arthrite psoriasique (complications)</term>
<term>Arthrite psoriasique (traitement médicamenteux)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Enregistrements (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Granulomatose avec polyangéite (complications)</term>
<term>Granulomatose avec polyangéite (traitement médicamenteux)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (mortalité)</term>
<term>Infections à coronavirus (physiopathologie)</term>
<term>Jeune adulte (MeSH)</term>
<term>Lupus érythémateux disséminé (complications)</term>
<term>Lupus érythémateux disséminé (traitement médicamenteux)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pelvispondylite rhumatismale (complications)</term>
<term>Pelvispondylite rhumatismale (traitement médicamenteux)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (mortalité)</term>
<term>Pneumopathie virale (physiopathologie)</term>
<term>Polyarthrite rhumatoïde (complications)</term>
<term>Polyarthrite rhumatoïde (traitement médicamenteux)</term>
<term>Produits biologiques (usage thérapeutique)</term>
<term>Pronostic (MeSH)</term>
<term>Rhumatisme inflammatoire des ceintures (complications)</term>
<term>Rhumatisme inflammatoire des ceintures (traitement médicamenteux)</term>
<term>Rhumatismes (complications)</term>
<term>Rhumatismes (traitement médicamenteux)</term>
<term>Sclérodermie systémique (complications)</term>
<term>Sclérodermie systémique (traitement médicamenteux)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antirheumatic Agents</term>
<term>Biological Products</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Germany</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Arthritis, Psoriatic</term>
<term>Arthritis, Rheumatoid</term>
<term>Coronavirus Infections</term>
<term>Granulomatosis with Polyangiitis</term>
<term>Lupus Erythematosus, Systemic</term>
<term>Pneumonia, Viral</term>
<term>Polymyalgia Rheumatica</term>
<term>Rheumatic Diseases</term>
<term>Scleroderma, Systemic</term>
<term>Spondylitis, Ankylosing</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Arthritis, Psoriatic</term>
<term>Arthritis, Rheumatoid</term>
<term>Granulomatosis with Polyangiitis</term>
<term>Lupus Erythematosus, Systemic</term>
<term>Polymyalgia Rheumatica</term>
<term>Rheumatic Diseases</term>
<term>Scleroderma, Systemic</term>
<term>Spondylitis, Ankylosing</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Arthrite psoriasique</term>
<term>Granulomatose avec polyangéite</term>
<term>Lupus érythémateux disséminé</term>
<term>Pelvispondylite rhumatismale</term>
<term>Polyarthrite rhumatoïde</term>
<term>Rhumatisme inflammatoire des ceintures</term>
<term>Rhumatismes</term>
<term>Sclérodermie systémique</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Antirhumatismaux</term>
<term>Arthrite psoriasique</term>
<term>Granulomatose avec polyangéite</term>
<term>Infections à coronavirus</term>
<term>Lupus érythémateux disséminé</term>
<term>Pelvispondylite rhumatismale</term>
<term>Pneumopathie virale</term>
<term>Polyarthrite rhumatoïde</term>
<term>Produits biologiques</term>
<term>Rhumatisme inflammatoire des ceintures</term>
<term>Rhumatismes</term>
<term>Sclérodermie systémique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>Prognosis</term>
<term>Registries</term>
<term>Severity of Illness Index</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Allemagne</term>
<term>Betacoronavirus</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Pronostic</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Allemagne</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>Patients with inflammatory rheumatic diseases (IRD) infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be at risk to develop a severe course of COVID-19. The influence of immunomodulating drugs on the course of COVID-19 is unknown. To gather knowledge about SARS-CoV-2 infections in patients with IRD, we established a registry shortly after the beginning of the pandemic in Germany.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Using an online questionnaire (www.COVID19-rheuma.de), a nationwide database was launched on 30 March 2020, with appropriate ethical and data protection approval to collect data of patients with IRD infected with SARS-CoV-2. In this registry, key clinical and epidemiological parameters-for example, diagnosis of IRD, antirheumatic therapies, comorbidities and course of the infection-are documented.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Until 25 April 2020, data from 104 patients with IRD infected with SARS-CoV-2 were reported (40 males; 63 females; 1 diverse). Most of them (45%) were diagnosed with rheumatoid arthritis, 59% had one or more comorbidities and 42% were treated with biological disease-modifying antirheumatic drugs. Hospitalisation was reported in 32% of the patients. Two-thirds of the patients already recovered. Unfortunately, 6 patients had a fatal course.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>In a short time, a national registry for SARS-CoV2-infected patients with IRD was established. Within 4 weeks, 104 cases were documented. The registry enables to generate data rapidly in this emerging situation and to gain a better understanding of the course of SARS-CoV2-infection in patients with IRD, with a distinct focus on their immunomodulatory therapies. This knowledge is valuable for timely information of physicians and patients with IRD, and shall also serve for the development of guidance for the management of patients with IRD during this pandemic.</p>
</div>
</front>
</TEI>
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<DateCompleted>
<Year>2020</Year>
<Month>09</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>10</Month>
<Day>06</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">2056-5933</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>6</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2020</Year>
<Month>09</Month>
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</JournalIssue>
<Title>RMD open</Title>
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<ArticleTitle>National registry for patients with inflammatory rheumatic diseases (IRD) infected with SARS-CoV-2 in Germany (ReCoVery): a valuable mean to gain rapid and reliable knowledge of the clinical course of SARS-CoV-2 infections in patients with IRD.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES">Patients with inflammatory rheumatic diseases (IRD) infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may be at risk to develop a severe course of COVID-19. The influence of immunomodulating drugs on the course of COVID-19 is unknown. To gather knowledge about SARS-CoV-2 infections in patients with IRD, we established a registry shortly after the beginning of the pandemic in Germany.</AbstractText>
<AbstractText Label="METHODS">Using an online questionnaire (www.COVID19-rheuma.de), a nationwide database was launched on 30 March 2020, with appropriate ethical and data protection approval to collect data of patients with IRD infected with SARS-CoV-2. In this registry, key clinical and epidemiological parameters-for example, diagnosis of IRD, antirheumatic therapies, comorbidities and course of the infection-are documented.</AbstractText>
<AbstractText Label="RESULTS">Until 25 April 2020, data from 104 patients with IRD infected with SARS-CoV-2 were reported (40 males; 63 females; 1 diverse). Most of them (45%) were diagnosed with rheumatoid arthritis, 59% had one or more comorbidities and 42% were treated with biological disease-modifying antirheumatic drugs. Hospitalisation was reported in 32% of the patients. Two-thirds of the patients already recovered. Unfortunately, 6 patients had a fatal course.</AbstractText>
<AbstractText Label="CONCLUSIONS">In a short time, a national registry for SARS-CoV2-infected patients with IRD was established. Within 4 weeks, 104 cases were documented. The registry enables to generate data rapidly in this emerging situation and to gain a better understanding of the course of SARS-CoV2-infection in patients with IRD, with a distinct focus on their immunomodulatory therapies. This knowledge is valuable for timely information of physicians and patients with IRD, and shall also serve for the development of guidance for the management of patients with IRD during this pandemic.</AbstractText>
<CopyrightInformation>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
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<LastName>Hasseli</LastName>
<ForeName>Rebecca</ForeName>
<Initials>R</Initials>
<Identifier Source="ORCID">0000-0002-2982-8253</Identifier>
<AffiliationInfo>
<Affiliation>Department of Rheumatology and Clinical Immunology, Campus Kerckhoff, Justus-Liebig-University Giessen, Giessen, Germany r.hasseli@kerckhoff-klinik.de.</Affiliation>
</AffiliationInfo>
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<LastName>Mueller-Ladner</LastName>
<ForeName>Ulf</ForeName>
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</AffiliationInfo>
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<CoiStatement>Competing interests: None declared.</CoiStatement>
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