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cc-by (c) Atzeni, Fabiola et al., 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/182875

The Rheumatology drugs for COVID-19 management: Which and when?

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Introduction: While waiting for the development of specific antiviral therapies and vaccines to effectively neutralize the SARS-CoV2, a relevant therapeutic strategy is to counteract the hyperinflammatory status, characterized by an increase mainly of interleukin (IL)-1β, IL-2, IL-6, IL-7, IL-8, and tumor necrosis factor (TNF)-α, which hallmarks the most severe clinical cases. 'Repurposing' immunomodulatory drugs and applying clinical management approved for rheumatic diseases represents a game-changer option. In this article, we will review the drugs that have indication in patients with COVID-19, including corticosteroids, antimalarials, anti-TNF, anti-IL-1, anti-IL-6, baricitinib, intravenous immunoglobulins, and colchicine. The PubMed, Medline, and Cochrane Library databases were searched for English-language papers concerning COVID-19 treatment published between January 2020 and October 2020. Results were summarized as a narrative review due to large heterogeneity among studies. In the absence of specific treatments, the use of immunomodulatory drugs could be advisable in severe COVID-19 patients, but clinical outcomes are still suboptimal. An early detection and treatment of the complications combined with a multidisciplinary approach could allow a better recovery of these patients

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ATZENI, Fabiola, MASALA, Ignazio francesco, RODRÍGUEZ CARRIÓ, Javier, RÍOS GARCÉS, Roberto, GERRATANA, Elisabetta, CORTE LA, Laura, GIALLANZA, Manuela, NUCERA, Valeria, RIVA, Agostino, ESPINOSA GARRIGA, Gerard, CERVERA I SEGURA, Ricard. The Rheumatology drugs for COVID-19 management: Which and when?. _Journal of Clinical Medicine_. 2021. Vol. 10, núm. 4, pàgs. 783. [consulta: 24 de gener de 2026]. ISSN: 2077-0383. [Disponible a: https://hdl.handle.net/2445/182875]

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