Outcomes and risk factors of COVID-19 in patients with bullous pemphigoid: a cross-sectional study

  • 0Department of Dermatology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China.

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Summary

This summary is machine-generated.

COVID-19 vaccination protected bullous pemphigoid patients from infection and severity. However, high-dose prednisone use increased infection risk, highlighting crucial management considerations for this vulnerable population.

Area Of Science

  • Dermatology
  • Infectious Diseases
  • Immunology

Background

  • Bullous pemphigoid (BP) patient outcomes with COVID-19 are not well understood.
  • Evaluating COVID-19's impact on BP patients is crucial.
  • Identifying risk and severity factors for SARS-CoV-2 in BP patients is needed.

Purpose Of The Study

  • To assess the impact of COVID-19 on bullous pemphigoid patients.
  • To determine factors influencing SARS-CoV-2 infection risk and severity in BP patients.

Main Methods

  • Cross-sectional survey of 96 BP patients from December 2022 to March 2023.
  • Questionnaires collected data on demographics, medical history, and COVID-19 experiences.
  • Logistic regression analyzed factors affecting SARS-CoV-2 infection risk and severity.

Main Results

  • Vaccination significantly reduced SARS-CoV-2 infection risk (OR: 0.157) and severity (OR: 0.044).
  • Prednisone use (>10 mg/day) in the last 3 months increased infection risk (OR: 7.911).
  • High-dose prednisone did not significantly impact COVID-19 infection severity.

Conclusions

  • COVID-19 vaccination is protective for BP patients against SARS-CoV-2 infection and severe disease.
  • High-dose prednisone (>10 mg/day) is a risk factor for SARS-CoV-2 infection in BP patients.
  • These findings inform management strategies for BP patients during pandemics.