The Turkish experience of COVID-19 infection in people with NMOSD and MOGAD: a milder course?

Autor: Sibel Canbaz Kabay, Murat Kürtüncü, Sedat Sen, Pinar Acar, Haluk Gümüş, Murat Terzi, Dilcan Kotan, Özden Kamışlı, Ipek Gungor Dogan, Aksel Siva, Sami Omerhoca, Yusuf Tamam, Serkan Demir, Gokhan Arslan, Destan Bunul, Ahmet Kasim Kilic, Semra Mungan, Tuncay Gündüz, Belgin Petek Balci, Husnu Efendi, Melih Tutuncu, Ugur Uygunoglu, Yeşim Beckmann, Sibel Güler, Levent Sinan Bir, Serhan Sevim, Ömer Faruk Turan, Özgül Ekmekci, Mesrure Koseoglu, Rana Karabudak, Nur Yüceyar, Meltem Demirkiran, Cavid Baba, Serkan Ozakbas, Ayse Altintas, Cihat Uzunköprü, Aslı Tuncer
Přispěvatelé: Altıntaş, Ayşe (ORCID 0000-0002-8524-5087 & YÖK ID 11611), Şen, S., Tuncer, A., Özakbaş, S., Uzunköprü, C., Baba, C., Demir, S., Beckmann, Y., Gümüş, H., Arslan, G., Kılıç, A.K., Yüceyar, N., Turan, O.F., Tütüncü, M., Terzi, M., Acar, P., Bünül, S.D., Balcı, B.P., Bir, L.S., Köseoğlu, M., Mungan, S., Gündüz, T., Doğan, I.G., Kotan, D., Uygunoğlu, U., Ekmekçi, O., Demirkiran, M., Kamışlı O., Kabay, S.C., Tamam, Y., Ömerhoca, S., Sevim, S., Güler, S., Kürtüncü, M., Efendi, H., Karabudak, R., Şiva A., School of Medicine
Jazyk: angličtina
Rok vydání: 2021
Předmět:
clinical outcome
serology
Disease
myelin oligodendrocyte glycoprotein
myelooptic neuropathy
rituximab
experience
Medicine
azathioprine
biology
Medicine
general and internal

adult
Neuromyelitis Optica
General Medicine
cohort analysis
comorbidity
female
risk factor
Neurology
Comorbid disease
Myelin oligodendrocyte glycoprotein antibody-associated disorders
disease severity
hospitalization
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Coronavirus
Disease modifying treatment
Neuromyelitis optica spectrum disorders
SARS-CoV-2
complication
protein deficiency
Article
Myelin oligodendrocyte glycoprotein
coronavirus disease 2019
male
Disease severity
death
myelin oligodendrocyte glycoprotein antibody associated disorder
Internal medicine
Humans
controlled study
human
Autoantibodies
Aquaporin 4
business.industry
Multiple sclerosis
disease association
COVID-19
medical information
medicine.disease
major clinical study
clinical feature
age
exposure
Neuromyelitis Optica Spectrum Disorders
biology.protein
Myelin-Oligodendrocyte Glycoprotein
Neurology (clinical)
disease duration
business
autoantibody
Zdroj: Multiple Sclerosis and Related Disorders
Popis: Background: COVID-19 is a multisystemic infection with variables consequences depending on individual and comorbid conditions. The course and outcomes of COVID-19 during neuromyelitis optica spectrum disorders (NMOSD) and myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD) are not clearly known. Objective methods: the aim of this study was to examine the features and outcomes of COVID-19 infection in NMOSD and MOGAD patients. The patients' demographic and clinical factors, disease modifying treatment (DMT) used and disease information of COVID-19 infection were recorded. Conditions leading to hospitalization and severe exposure to COVID-19 infection were also analyzed. Results: the study included 63 patients from 25 centers. Thirty-two patients (50.8%) belong to AQP-4 seropositive group, 13 (20.6%) and 18 (28.6%) were in MOG-positive and double-seronegative groups, respectively. Risk factors for severe COVID-19 infection and hospitalization were advanced age, high disability level and the presence of comorbid disease. Disease severity was found to be high in double-seronegative NMOSD and low in MOGAD patients. No statistically significant effect of DMTs on disease severity and hospitalization was found. Conclusion: in NMOSD and MOGAD patients, advanced age, high disability and presence of comorbid disease pose risks for severe COVID-19 infection. There was no direct significant effect of DMTs for COVID-19 infection.
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Databáze: OpenAIRE