The immune dysregulations in COVID-19: Implications for the management of rheumatic diseases

Mod Rheumatol. 2021 Sep;31(5):927-932. doi: 10.1080/14397595.2020.1868673. Epub 2021 Jan 26.

Abstract

The pandemic of COVID-19 has caused global social impact and high health risk. Clinical observations have suggested that elevated levels of inflammatory mediators are associated with disease severities in COVID-19 patients, in which the immunological profiles indicate the hyperactivation of innate immune cells and dysregulated adaptive immune responses. The increasing prevalence and disease progression of COVID-19 has emerged as a pressing challenge for the management of rheumatic patients with immune dysregulations. Here we review the immune dysregulations in COVID-19 and discuss the management of COVID-19 patients with rheumatic diseases.

Keywords: COVID-19; immune dysregulation; management; rheumatic diseases.

Publication types

  • Review

MeSH terms

  • COVID-19* / immunology
  • COVID-19* / physiopathology
  • Humans
  • Immune System / physiopathology*
  • Pandemics
  • Rheumatic Diseases* / epidemiology
  • Rheumatic Diseases* / therapy