COVID-19 and mortality in patients with systemic lupus erythematosus
Abstract
December 2019, a new disease caused by coronavirus 2019 (COVID19) has broken out in Wuhan, China. Causative of severe acute respiratory syndrome (SARS-CoV2)
Some cases associate COVID-19 and autoimmune disorders; the role of this virus in autoimmunity is poorly understood. Systemic lupus erythematosus (SLE) is an autoimmune disease. Baricitinib is a Janus kinase inhibitor (JAK) molecule approved for the treatment of autoimmune and inflammatory disorders, recently used for the management of severe COVID-19 disease.
These are 4 cases of SLE with COVID 19, two of which were admitted to the intensive care unit, died, with a history of lupus nephritis. The next two cases survived. The risk factors that increase mortality in SLE are still unknown, however, lupus nephritis was associated with mortality in COVID-19. More studies are required to understand the risk between autoimmune diseases and COVID-19.
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