Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
Rheumatology/Immunology, Cleveland Clinic, Cleveland, Ohio, USA
Ann Rheum Dis. 2024 Jan 11;83(2):136-138. doi: 10.1136/ard-2023-224250.
Rheumatology, such as other subspecialties, has both a unique perspective to offer as well as an evolving role to play in the global COVID-19 pandemic. Our field has already contributed meaningfully to the development and repurposing of many of the immune-based therapeutics which are now standard treatments for severe forms of the disease as well as to the understanding of the epidemiology, risk factors and natural history of COVID-19 in immune-mediated inflammatory diseases. Still in evolution is our potential to contribute to burgeoning research efforts in the next phase of the pandemic: the syndrome of postacute sequelae of COVID-19 or Long COVID. While our field brings many assets to the study of Long COVID including our expertise in the investigation of chronic inflammation and autoimmunity, our Viewpoint focuses on the strong similarities between fibromyalgia (FM) and Long COVID. While one can speculate on how embracing and confident practising rheumatologists already are regarding these interrelationships, we assert that in the emerging field of Long COVID the potential lessons from the field of fibromyalgia care and research have been underappreciated and marginalised and most importantly now deserve a critical appraisal.
风湿病学,如同其他专科一样,在全球 COVID-19 大流行中,不仅具有独特的视角,而且还发挥着不断发展的作用。我们的领域已经为许多免疫治疗药物的开发和重新应用做出了重要贡献,这些药物现在是治疗疾病严重形式的标准治疗方法,也为理解 COVID-19 在免疫介导的炎症性疾病中的流行病学、风险因素和自然史做出了贡献。我们在 COVID-19 后急性后遗症或长新冠这一疾病新阶段的研究中发挥潜力仍在不断发展中。虽然我们的领域为长新冠的研究带来了许多优势,包括我们在慢性炎症和自身免疫调查方面的专业知识,但我们的观点集中在纤维肌痛(FM)和长新冠之间的强烈相似性上。虽然人们可以推测已经对这些相互关系充满信心和接受的风湿病学家会如何看待,但我们断言,在新兴的长新冠领域,从纤维肌痛护理和研究领域获得的潜在经验教训尚未得到充分重视和边缘化,而现在最重要的是需要进行批判性评估。