Inflammatory myopathies

The effect of coronavirus disease (COVID-19) pandemic on idiopathic inflammatory myositis patients: a single centre experience

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Based on our results, myositis may be associated with an increased risk of COVID-19 infection. Independent risk factor for hospitalisation are longer disease duration and anti-Jo1 positivity.

Study context

Population
Patients with idiopathic inflammatory myopathies (IIM), single centre101 had blood tests
Participants
176 patients
Exposure
IIM cohort vs national prevalence of COVID-19
Outcome
Incidence of COVID-19 infection
Follow-up
By June 1st, 2021
Methodological detailsretrospective, single-centre
  • Retrospective
  • Single-centre

Main finding

As reported in the abstract

COVID-19 infection incidence

Incidence of COVID-19 infections in IIM cohort

34.7%

National prevalence

8.2%

Observational data: associations, not effects.

Further findings

Infection severity and hospitalisation

A third of infections asymptomatic or mild
Hospitalised patients had significantly longer disease duration and higher incidence of anti-Jo-1 antibody
All infected patients became seropositive regardless of immunosuppressive therapy or symptom severity

Vaccination and humoral response

Received anti-COVID-19 vaccine
54.3%
Seropositive after vaccination
72.3%
Higher anti-spike titer after Pfizer-BioNTech vs others
Decreased post-vaccination antibody response with steroid therapy vs without

Safety

Major post-vaccination infection

None observed
0

Original publication

The effect of COVID-19 pandemic on idiopathic inflammatory myositis patients: a single centre experience. Clin Exp Rheumatol. Published 12 February 2022. doi:10.55563/clinexprheumatol/eisexh

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