Evidence map›Paper›PMID 35768959›Full record

ArticleDermatologic therapy2022

Adverse outcome and severity of COVID-19 in patients with autoimmune bullous diseases: A historical cohort study.

Fateme Shirzad Moghadam, Nika Kianfar, Shayan Dasdar, Rana Samii, Zeinab Farimani, Pedram Molhem Azar, Kamran Balighi, Robabeh Abedini, Tahereh Soori, Ali Salehi Farid and 2 more

Open access · greenAbstract read
In one paragraph

Article in Dermatologic therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
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  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Fateme Shirzad MoghadamAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nika KianfarAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-4768-0598
Shayan DasdarAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-5761-5098
Rana SamiiAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zeinab FarimaniAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Pedram Molhem AzarAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Kamran BalighiAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Robabeh AbediniAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Tahereh SooriAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ali Salehi FaridAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-3135-1076
Hamidreza MahmoudiAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-1890-1005
Maryam DaneshpazhoohAutoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1020-8895
Tehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ongoing COVID-19 pandemic has raised concerns regarding the outcome of this infection in patients with autoimmune bullous dermatoses (AIBDs) due to effect of drugs used to treat these disorders. This investigation was performed from the onset of the pandemic to June 1, 2021. Patients with AIBDs who contracted COVID-19 were evaluated. A generalized linear model was employed to find the predictors of severe COVID-19 among patients with AIBDs. Ninety-three patients with AIBDs with a mean age of 50.3 years were evaluated. The most COVID-19 related symptoms were tiredness (76.3%) myalgia (69%), and cough (63.4%). During follow-up, the rate of hospitalization and death were 45.2% and 4.3%, respectively. Previous comorbidities (β = 0.61) and mean prednisolone dosage above 10 mg/day in the last 3 months (β = 1.10) significantly increased COVID-19 severity. Also, vaccination against SARS-CoV-2 (β = -1.50) and each passing month from the last rituximab dose decreased severity (β = -0.02). Notably, 19.3% of the patients developed AIBD flare-ups following COVID-19 infection. Higher prednisone dose and the shorter interval from the last rituximab infusion were determinants of severe COVID-19. Physicians should assess the risk versus the benefits when prescribing the medications. Moreover, vaccination could successfully attenuate COVID-19 severity.

Indexed as

Autoimmune DiseasesCOVID-19Skin Diseases, VesiculobullousCohort StudiesHumansMiddle AgedPandemicsRituximabSARS-CoV-2Rituximabautoimmuneautoimmune blistering diseaseCOVID-19immunosuppressionSARS-CoV-2

Identifiers

PMID35768959
PMCPMC9349909
OpenAlexW4283717174

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.