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Antineutrophil cytoplasmic antibody positivity and clinical implications in COVID-19
Serdar Can Güven1, Hakan Apaydın1, Bahar Özdemir1
1Ministry of Health Ankara City Hospital, Clinic of Rheumatology, Ankara, 06800, Turkey.
Insights
Antineutrophil cytoplasmic antibody (ANCA) positivity in COVID-19 patients, without prior rheumatic disease, may indicate worse outcomes and higher acute phase reactant levels. Further research is needed to confirm these findings.
Area of Science:
- Immunology
- Infectious Diseases
- Rheumatology
Background:
- COVID-19 can trigger various immune responses.
- Antineutrophil cytoplasmic antibodies (ANCAs) are typically associated with autoimmune vasculitis.
Purpose of the Study:
- To investigate the clinical implications of ANCA positivity in COVID-19 patients.
- To determine if ANCA positivity correlates with disease severity or outcomes in COVID-19.
Main Methods:
- Retrospective analysis of hospital database records.
- Comparison of clinical, laboratory, and imaging data between ANCA-positive and ANCA-negative COVID-19 patients.
Main Results:
- ANCAs were tested in 87 COVID-19 patients; 8 were positive.
- ANCA-positive patients showed higher acute phase reactant levels.
- Similar COVID-19 symptoms and pulmonary involvement were observed between groups.
- A non-statistically significant trend towards higher mortality was noted in ANCA-positive patients.
Conclusions:
- ANCA positivity in COVID-19 patients without prior rheumatic conditions may be associated with poorer outcomes.
- This finding warrants further investigation into the role of ANCAs in COVID-19 pathogenesis and prognosis.
Abstract:
Aim: To investigate clinical implications of antineutrophil cytoplasmic antibody (ANCA) positivity detected in COVID-19 patients during follow up. Materials and methods: A retrospective survey in a hospital database was carried out to detect COVID-19 patients in which ANCAs had been tested. Clinical, laboratory and imaging data were collected from this hospital database and compared between ANCA-negative and -positive patients. Results: ANCAs were tested in 87 COVID-19 patients. Eight had positivity in at least one ANCA test. COVID-19 symptoms on admission and rate of pulmonary involvement were similar. Acute phase reactant levels were higher in ANCA-positive patients. Rate of mortality was higher in the ANCA-positive group without statistical significance. Conclusion: ANCA positivity detected during COVID-19 in patients without a prior diagnosis of any rheumatic condition may be related with worse outcomes.
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