改善长期COVID的鼻科:这并不那么简单
Leonard H Calabrese1, Philip J Mease2
1Rheumatology/Immunology, Cleveland Clinic, Cleveland, Ohio, USA calabrl@ccf.org.
Annals of the rheumatic diseases
|November 21, 2023
概括
长期COVID与纤维肌痛有共同的症状,但重新命名可能会损害研究和患者护理. 需要进一步的研究来了解这些复杂的后病毒状况.
科学领域:
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
- 后病毒综合征 后病毒综合征
背景情况:
- 长期COVID呈现为一种不完全恢复或在SARS-CoV-2感染后出现新的医学上无法解释的症状的不明确情况.
- 许多长期COVID症状与纤维肌痛重叠,纤维肌痛是一种经过充分研究的疾病,常见于类风湿病学家.
- 有些人建议长期COVID只是纤维肌痛的新名称,作为感染后的后果.
研究的目的:
- 检查长期COVID和纤维肌痛之间的相似之处和区别.
- 为了反对过早地将长期COVID重新标记为纤维肌痛.
- 突出这种重新标记对研究和患者护理的潜在危害.
主要方法:
- 长期COVID和纤维肌痛的临床内型的比较分析.
- 审查现有的流行病学,临床和纤维肌痛基础研究.
- 对未来的研究议程和患者管理的潜在影响进行讨论.
主要成果:
- 长期COVID和纤维肌痛之间存在显著的临床重叠.
- 将长期COVID重命名为纤维肌痛被认为是临床上的减少主义.
- 重新标记可能会对研究设计,执行和患者优先级产生负面影响.
结论:
- 虽然相似之处很强,但建议谨慎避免立即将长期COVID重新命名为纤维肌痛.
- 过早重新标记可能会阻碍科学研究,并对患者的治疗结果产生负面影响.
- 进一步的研究对于区分和有效管理这些情况至关重要.
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