Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, Lübeck, Germany.
J Dtsch Dermatol Ges. 2024 Jul;22(7):965-972. doi: 10.1111/ddg.15433. Epub 2024 May 22.
Limited data exist on the characteristics of SARS-CoV-2 infections in German patients with psoriasis or psoriasis arthritis (PsA). This study analyses COVID-19 prevalence and severity of symptoms in these patients.
Participants of the German registries PsoBest and CoronaBest were surveyed in February 2022. Descriptive analyses were conducted.
4,818 patients were included in the analysis, mean age of 56.4 years. Positive SARS-CoV-2 tests were reported by 737 (15.3%) patients. The most frequently reported acute symptoms were fatigue (67.3%), cough (58.8%), and headache (58.3%). Longer-lasting symptoms after COVID-19 were reported by 231 of 737 patients after the acute phase. For most patients (92.9%), systemic treatment for their psoriasis or PsA was not modified during the pandemic. Patients positively tested for SARS-CoV-2 were younger on average and had more often changes in the therapy of psoriasis than negatively tested patients (8.5% vs. 5.4%).
In this cohort of patients with psoriasis or PsA undergoing systemic treatment, SARS-CoV-2 infections were common but less frequent than in the general German population. No risk signals for more severe COVID-19 or increased infection rates were observed in the patients. In addition, systemic treatments remained largely unchanged, so that no risks can be attributed to these therapies.
关于德国银屑病或银屑病关节炎(PsA)患者中 SARS-CoV-2 感染的特征,现有数据有限。本研究分析了这些患者 COVID-19 的患病率和症状严重程度。
2022 年 2 月对德国登记处 PsoBest 和 CoronaBest 的参与者进行了调查。进行了描述性分析。
分析纳入了 4818 名患者,平均年龄为 56.4 岁。737 名(15.3%)患者报告 SARS-CoV-2 检测呈阳性。报告的最常见急性症状是疲劳(67.3%)、咳嗽(58.8%)和头痛(58.3%)。737 名急性感染后有症状的患者中有 231 名报告了持续时间较长的症状。对于大多数患者(92.9%),在大流行期间他们的银屑病或 PsA 的系统治疗没有改变。阳性检测 SARS-CoV-2 的患者平均年龄较小,且比阴性检测患者更频繁地改变银屑病治疗(8.5%比 5.4%)。
在接受系统治疗的银屑病或 PsA 患者队列中,SARS-CoV-2 感染很常见,但比德国普通人群中的感染频率低。在这些患者中未观察到 COVID-19 更严重或感染率增加的风险信号。此外,系统治疗基本保持不变,因此这些治疗方法不会带来风险。