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SARS-CoV-2 infection and seroprevalence in patients with multiple sclerosis
R Piñar Morales1, M A Ramírez Rivas2, F J Barrero Hernández3
1Servicio de Neurología, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Introduction:
The effect of SARS-CoV-2 infection in patients with multiple sclerosis (MS) and the influence of disease-modifying therapies (DMT) for MS on COVID-19 are unknown. To date, patients with MS have not been shown to present greater risk of COVID-19 or more severe progression of the disease.
Methods:
We performed a descriptive study of patients with MS presenting SARS-CoV-2 infection diagnosed with PCR. We analysed demographic, clinical, laboratory, and treatment variables in our sample. Presence of antibodies against the virus was also determined.
Results:
Relapsing-remitting MS (RRMS) was the most frequent form of MS in our sample. Prognosis was unfavourable in 10.2% of patients, and was associated with older age and higher scores on the Expanded Disability Status Scale (EDSS). Seroprevalence of antibodies against SARS-CoV-2 was 83.3% in our sample. Development of antibodies was not associated with DMT, lymphocytopaenia, or any of the other variables analysed.
Conclusions:
The incidence of COVID-19 was slightly higher in our sample than in the general population in our province. Unfavourable prognosis was associated with older age and higher EDSS scores. DMT and lymphocytopaenia did not influence the clinical course of COVID-19. Seroprevalence of antibodies against the virus in our sample was similar to that reported for the general population with positive PCR results for the virus; the influence of specific DMTs could not be determined.
Insights
COVID-19 incidence was slightly higher in multiple sclerosis (MS) patients, but disease-modifying therapies (DMT) did not affect COVID-19 outcomes. Unfavorable prognosis was linked to older age and higher disability scores.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- The impact of SARS-CoV-2 on multiple sclerosis (MS) patients and the role of disease-modifying therapies (DMTs) in COVID-19 outcomes remain unclear.
- Current evidence suggests MS patients may not face a higher risk or more severe COVID-19 progression.
Purpose of the Study:
- To investigate the clinical course and outcomes of COVID-19 in patients with multiple sclerosis.
- To assess the influence of disease-modifying therapies (DMTs) on COVID-19 severity in MS patients.
Main Methods:
- A descriptive study was conducted on MS patients diagnosed with SARS-CoV-2 via PCR.
- Demographic, clinical, laboratory, and treatment data were analyzed, including antibody presence against SARS-CoV-2.
Main Results:
- Relapsing-remitting MS (RRMS) was the most common form. Unfavorable prognosis occurred in 10.2% of patients, associated with older age and higher Expanded Disability Status Scale (EDSS) scores.
- Seroprevalence of SARS-CoV-2 antibodies was 83.3%, not associated with DMTs or lymphocytopenia.
- COVID-19 incidence was slightly elevated compared to the general population.
Conclusions:
- Older age and higher EDSS scores were associated with unfavorable COVID-19 prognosis in MS patients.
- DMTs and lymphocytopenia did not significantly influence the clinical course of COVID-19 in this cohort.
- Antibody seroprevalence was comparable to the general population; specific DMT effects on antibody development could not be determined.
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