Koronawirus, SM i leki immunomodulujące Artykuł przeglądowy

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Iwona Kurkowska-Jastrzębska

Abstrakt

Koronawirus SARS-CoV-2 należy do rodziny wirusów znanych z wywoływania ostrych zakażeń górnych dróg oddechowych oraz z właściwości neurotropowych. SARS-CoV-2 nie ogranicza się do układu oddechowego, ale jak pokazały badania, dociera do wielu narządów, m.in. do nerek, jelit, serca oraz do mózgu. Pacjenci ze stwardnieniem rozsianym (SM, sclerosis multiplex) ze względu na obciążenie chorobą przewlekłą i niesprawnością oraz leczenie immunosupresyjne mogą być bardziej narażeni na różne infekcje, ale dotychczas nie ma dowodu, aby chorowali częściej na COVID-19 lub aby przebieg choroby był u nich inny niż w populacji ogólnej. Poważnym problemem dotyczącym osób cierpiących na SM i inne schorzenia wymagające przewlekłej immunosupresji jest prowadzenie leczenia w czasie epidemii, szczególnie rozpoczynanie terapii i stosowanie terapii agresywnych o dużym potencjale immunosupresyjnym.

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