Myasthenia Gravis and COVID-19: Clinical Characteristics and Outcomes.

Myasthenia Gravis and COVID-19: Clinical Characteristics and Outcomes.
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DOI:
10.3389/fneur.2020.01053
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发表时间:
2020
影响因子:
3.4
通讯作者:
Zanoteli E
Zanoteli E
中科院分区:
医学3区
文献类型:
--
作者:
Camelo-Filho AE;Silva AMS;Estephan EP;Zambon AA;Mendonça RH;Souza PVS;Pinto WBVR;Oliveira ASB;Dangoni-Filho I;Pouza AFP;Valerio BCO;Zanoteli E

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重症肌无力(MG)是一种自身免疫性神经肌肉疾病,可能是严重COVID-19的风险因素。我们在巴西圣保罗的四家医院对15名连续的成年MG患者进行了一项观察性回顾性研究。大多数因COVID-19住院的MG患者病程严重:87%被送入重症监护室,73%需要机械通气,30%死亡。使用免疫球蛋白和血浆置换程序是安全的。免疫抑制治疗似乎与更好的结果相关,因为它可能起保护作用。
Myasthenia gravis (MG), an autoimmune neuromuscular disorder, may be a risk factor for severe COVID-19. We conducted an observational retrospective study with 15 consecutive adult MG patients admitted with COVID-19 at four hospitals in São Paulo, Brazil. Most patients with MG hospitalized for COVID-19 had severe courses of the disease: 87% were admitted in the intensive care unit, 73% needed mechanical ventilation, and 30% died. Immunoglobulin use and the plasma exchange procedure were safe. Immunosuppressive therapy seems to be associated with better outcomes, as it might play a protective role.
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