COVID-19 in systemic lupus erythematosus; a mini-review on current knowledge

Mahsa Rafieian, H. Nasri, Yassamin Rabiei
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Abstract

The consequences of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection vary among persons, while some individuals are at high risk. Patients with systemic lupus erythematosus (SLE) and COVID-19 necessitate particular attention. SLE cases may be at particular risk for SARS-CoV-2 due to their dysregulated immune system and immunosuppressive treatments. Organ injury and administration of systemic glucocorticoids and other immunosuppressive agents are the risk factors for severe SARS-CoV-2. Additionally, SLE is not uncommon and could be severe in some ethnicities like African and Hispanic individuals and may be accompanied by poor outcomes of SARS-CoV-2. Thus, knowledge of the triggering immune response and therapeutic modalities in SLE and SARS-CoV-2 is necessary to guide treatment of this serious infectious disease in the background of SLE and vice versa.
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COVID-19在系统性红斑狼疮中的应用对当前知识的简短回顾
SARS-CoV-2(严重急性呼吸综合征冠状病毒2)感染的后果因人而异,有些人的风险很高。系统性红斑狼疮(SLE)和COVID-19患者需要特别关注。由于SLE患者的免疫系统失调和免疫抑制治疗,他们感染SARS-CoV-2的风险可能特别高。器官损伤和全身糖皮质激素和其他免疫抑制剂的使用是严重的SARS-CoV-2的危险因素。此外,SLE并不罕见,在非洲和西班牙裔等某些种族中可能很严重,并可能伴有SARS-CoV-2的不良结果。因此,了解SLE和SARS-CoV-2的触发免疫反应和治疗方式对于指导SLE背景下这种严重传染病的治疗是必要的,反之亦然。
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