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Published in: Current Rheumatology Reports 1/2021

01-01-2021 | Tocilizumab | Spondyloarthritis (M Khan, Section Editor)

COVID-19: What Do Rheumatologists Need to Know?

Authors: Gillian E. Fitzgerald, Sinead Maguire, Nigil Haroon

Published in: Current Rheumatology Reports | Issue 1/2021

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Abstract

Purpose of Review

Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) emerged in December 2019, rapidly reaching global pandemic proportions. Coronavirus disease 2019 (COVID-19) has presented unique challenges to the rheumatology community. It is known that many individuals with rheumatic disease are at increased risk of severe disease from other infections, sparking a similar fear for COVID-19. In addition, medications routinely used in rheumatology practice are being trialled as treatments, with the potential for drug shortages for rheumatology patients.

Recent Findings

Underlying comorbidities and active disease are associated with worse COVID-19 outcomes in patients with rheumatic disease. Tocilizumab and hydroxychloroquine have not proven to be effective treatments in the management of COVID-19. Telehealth has become an essential tool for the rheumatology community to monitor patients during the pandemic.

Summary

In this article, we summarise the available COVID-19 evidence that is of relevance to the rheumatology community. We discuss the risk of contracting COVID-19 in individuals with rheumatic disease, along with presenting features and clinical outcomes. We provide an overview of the treatments for COVID-19 which have significance for rheumatology. We highlight published recommendations which can guide our management of rheumatic disease populations during this pandemic. Finally, we discuss the challenges in delivering effective care virtually and present methods and tools which could be adapted for use.
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Metadata
Title
COVID-19: What Do Rheumatologists Need to Know?
Authors
Gillian E. Fitzgerald
Sinead Maguire
Nigil Haroon
Publication date
01-01-2021
Publisher
Springer US
Published in
Current Rheumatology Reports / Issue 1/2021
Print ISSN: 1523-3774
Electronic ISSN: 1534-6307
DOI
https://doi.org/10.1007/s11926-020-00971-y

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