Across rheumatic diseases

Risk of new onset of immune-mediated diseases after SARS-CoV-2 infection: A systematic review and meta-analysis

Semin Arthritis RheumPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Our results support a higher risk of developing at least 11 immune-mediated diseases evaluated.

Study context

Population
Analytical observational studies reporting immune-mediated diseases after confirmed SARS-CoV-2 infection vs individuals without infection history8 studies
Comparison
Confirmed SARS-CoV-2 infection vs no infection history
Outcome
New onset of immune-mediated diseases (39 defined outcomes)
Methodological detailsrandom-effects model, Mantel-Haenszel method, diagnoses within first 30 days post-infection excluded
  • Random-effects model
  • Mantel-Haenszel method
  • Diagnoses within first 30 days post-infection excluded

Pooled result

As reported in the abstract

Risk of new-onset immune-mediated diseases after SARS-CoV-2 infection (pooled RR, random-effects)

Lowest association in the range: SSc

2.31

95 % CI: 1.87–2.85

Highest association in the range: BD

3.71

95 % CI: 1.18–11.72

Original publication

Risk of new onset of immune-mediated diseases after SARS-CoV-2 infection: A systematic review and meta-analysis. Semin Arthritis Rheum. Published 5 August 2025. doi:10.1016/j.semarthrit.2025.152805

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