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COVID-19 感染对生物治疗下的葡萄膜炎患者的影响。

Implications of COVID-19 infection on patients with uveitis under biologic treatment.

机构信息

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

出版信息

Br J Ophthalmol. 2022 Nov;106(11):1538-1541. doi: 10.1136/bjophthalmol-2020-318577. Epub 2021 Apr 30.

DOI:10.1136/bjophthalmol-2020-318577
PMID:33931386
Abstract

BACKGROUND/AIMS: To investigate the incidence, severity of COVID-19 infection and the outcomes in patients with uveitis treated with biologic agents during COVID-19 pandemic.

METHODS

In this prospective study, we included all patients with uveitis treated with biologic agents and tested for COVID-19 infection between May 2020 and October 2020.

RESULTS

A total of 59 patients were identified. Behçet's disease was the most common diagnosis (64.4%). Infliximab was the most frequent biologic agent used (61%). Nine (15.3%) patients were tested positive for COVID-19. None of the patients with positive COVID-19 test developed any COVID-19-related symptoms during follow-up. Of the nine patients with positive COVID-19 test, only two patients had uveitis flare-up after the biologic suspension.

CONCLUSION

Uveitis patients under biologic therapy can be silent carriers for COVID-19.

摘要

背景/目的:研究在 COVID-19 大流行期间使用生物制剂治疗葡萄膜炎的患者 COVID-19 感染的发生率、严重程度和结局。

方法

在这项前瞻性研究中,我们纳入了 2020 年 5 月至 2020 年 10 月期间接受 COVID-19 检测且使用生物制剂治疗葡萄膜炎的所有患者。

结果

共确定了 59 名患者。最常见的诊断是贝切特病(64.4%)。使用最频繁的生物制剂是英夫利昔单抗(61%)。9 名(15.3%)患者的 COVID-19 检测呈阳性。在随访期间,COVID-19 检测呈阳性的患者均未出现任何 COVID-19 相关症状。在 COVID-19 检测呈阳性的 9 名患者中,仅 2 名患者在停用生物制剂后出现葡萄膜炎发作。

结论

接受生物制剂治疗的葡萄膜炎患者可能是 COVID-19 的无症状携带者。

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Br J Ophthalmol. 2022 Nov;106(11):1538-1541. doi: 10.1136/bjophthalmol-2020-318577. Epub 2021 Apr 30.
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