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.

Future Virology
|February 17, 2022
PubMed

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.

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