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炎症性肠病患者可能是新型冠状病毒的无症状携带者且较少发生严重不良事件:是真是假?

IBD Patients Could Be Silent Carriers for Novel Coronavirus and Less Prone to its Severe Adverse Events: True or False?

作者信息

Baradaran Ghavami S Haghayegh, Shahrokh S Habnam, Hossein-Khannazer Nikoo, Shpichka Anastasia, Asadzadeh Aghdaei Hamid, Timashev Peter, Vosough Massoud

机构信息

Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Cell J. 2020 Jul;22(Suppl 1):151-154. doi: 10.22074/cellj.2020.7603. Epub 2020 Jul 18.

DOI:10.22074/cellj.2020.7603
PMID:32779446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7481906/
Abstract

Inflammatory bowel diseases (IBDs) are chronic disorders of the gastrointestinal tract. The goal of IBD treatment is to reduce the inflammation period and induce long-term remission. Use of anti-inflammatory drugs including corticosteroids, immunosuppressants and biologicals, is often the first step in the treatment of IBD. Therefore, IBD patients in pandemic of infectious diseases are considered a high-risk group. The public believes that IBD patients are at a higher risk in the current coronavirus 2 pandemic. Nevertheless, these patients may experience mild or moderate complications compared to healthy people. This might be because of particular anti-TNF-α treatment or any immunosuppressant that IBD patients receive. Moreover, these patients might be silent carrier for the virus.

摘要

炎症性肠病(IBD)是胃肠道的慢性疾病。IBD治疗的目标是缩短炎症期并诱导长期缓解。使用包括皮质类固醇、免疫抑制剂和生物制剂在内的抗炎药物通常是IBD治疗的第一步。因此,在传染病大流行期间,IBD患者被视为高危人群。公众认为IBD患者在当前的新型冠状病毒2大流行中风险更高。然而,与健康人相比,这些患者可能会出现轻度或中度并发症。这可能是由于IBD患者接受的特殊抗TNF-α治疗或任何免疫抑制剂。此外,这些患者可能是病毒的无症状携带者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d6d/7481906/dd98ecb31597/Cell-J-22-Suppl1-151-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d6d/7481906/dd98ecb31597/Cell-J-22-Suppl1-151-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d6d/7481906/dd98ecb31597/Cell-J-22-Suppl1-151-g01.jpg

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Critical appraisal of the mechanisms of gastrointestinal and hepatobiliary infection by COVID-19.新冠病毒胃肠道和肝胆感染机制的批判性评价。
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Gastroenterology. 2020 Jun;158(8):2302-2304. doi: 10.1053/j.gastro.2020.04.032. Epub 2020 Apr 16.
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J Crohns Colitis. 2020 Sep 16;14(9):1334-1336. doi: 10.1093/ecco-jcc/jjaa061.
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COVID-19: consider cytokine storm syndromes and immunosuppression.2019冠状病毒病:考虑细胞因子风暴综合征和免疫抑制。
Lancet. 2020 Mar 28;395(10229):1033-1034. doi: 10.1016/S0140-6736(20)30628-0. Epub 2020 Mar 16.
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