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COVID-19 in patients with familial Mediterranean fever treated with colchicine: case based review
Kemal Nas1, Nuran Eryilmaz2, Mehmet Faruk Geyik3
1Division of Rheumatology and Immunology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sakarya University, Sakarya, Turkey. kemalnas@yahoo.com.
Insights
Familial Mediterranean fever (FMF) patients with COVID-19 infection treated with colchicine showed positive outcomes. This suggests colchicine may improve COVID-19 prognosis in FMF patients.
Area of Science:
- Rheumatology
- Infectious Diseases
- Pharmacology
Background:
- COVID-19, caused by SARS-CoV-2, shares pathophysiological similarities with inflammatory rheumatic disorders, including cytokine storm.
- Familial Mediterranean fever (FMF) is an autoinflammatory disease often managed with colchicine.
Observation:
- Three FMF patients diagnosed with COVID-19 infection were studied.
- Clinical, laboratory, and treatment data were collected and analyzed.
Findings:
- All three FMF patients recovered from COVID-19 without complications.
- Colchicine treatment was associated with a positive prognosis in these COVID-19 cases.
Implications:
- Colchicine may be beneficial in managing COVID-19 in FMF patients.
- Rheumatologists' expertise in anti-inflammatory drug use can aid COVID-19 patient management.
Abstract:
Coronavirus disease 2019 (COVID-19) refers to the clinical picture of an important and severe infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Considering the current knowledge on the pathophysiology and clinical manifestations of COVID-19, it is safe to state that both COVID-19 and inflammatory rheumatic disorders cause a cytokine storm and merit treatment with anti-rheumatic drugs. Three patients, who were on regular follow-up due to the diagnosis of familial Mediterranean fever (FMF), contracted COVID-19 infection; and their pre-clinical and post-clinical data as well as laboratory, prognosis and treatment data were investigated. Effects of colchicine in FMF patients who contracted COVID-19 infection were presented in this study. All the cases recovered from COVID-19 without complications. The present study suggests that colchicine can positively affect the prognosis of COVID-19 in FMF patients; therefore, experience of rheumatologists in the use of anti-inflammatory drugs can be highly instrumental in management of COVID-19 patients.
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