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居家隔离的 COVID-19 患者使用四环素类药物:一项针对炎症性和感染性皮肤病的多中心观察性研究的真实世界数据提供文献证据支持。

Tetracyclines in COVID-19 patients quarantined at home: Literature evidence supporting real-world data from a multicenter observational study targeting inflammatory and infectious dermatoses.

机构信息

AOU Maggiore della Carità, Novara, Italy.

Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

出版信息

Dermatol Ther. 2021 Jan;34(1):e14694. doi: 10.1111/dth.14694. Epub 2020 Dec 29.

Abstract

Tetracyclines (TetraC) are widely used in dermatology for both inflammatory and infectious dermatoses; recently both in vivo and in vitro studies started to suggest also a potential antiviral effect. During COVID-19 outbreak, several dermatological patients contracted SARS-CoV-2 experiencing only mild symptoms, but no protocol were approved. A multicenter prospective observational study that enrolled COVID-19 patients visited with teledermatology and undergoing TetraC was performed. About 38 adult outpatients (M/F: 20/18, age 42.6 years [21-67]) were enrolled. During the TetraC treatment, symptoms resolved in all patients within 10 days. Remarkably, ageusia and anosmia disappeared in the first week of TetraC treatment. TetraC seem a promising drug to treat COVID-19 outpatients with mild symptoms.

摘要

四环素(TetraC)在皮肤科中被广泛用于治疗炎症性和感染性皮肤病;最近,体内和体外研究都开始表明其具有潜在的抗病毒作用。在 COVID-19 爆发期间,一些皮肤科患者感染了 SARS-CoV-2,仅出现轻度症状,但没有批准任何方案。我们开展了一项多中心前瞻性观察研究,招募了接受远程医疗并接受四环素治疗的 COVID-19 患者。共有 38 名成年门诊患者(男/女:20/18,年龄 42.6 岁[21-67])入组。在四环素治疗期间,所有患者的症状均在 10 天内得到缓解。值得注意的是,味觉丧失和嗅觉丧失在四环素治疗的第一周内消失。四环素似乎是治疗轻症 COVID-19 门诊患者的一种有前途的药物。

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