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Prevalence of post-COVID-19 in patients with fibromyalgia: a comparative study with other inflammatory and autoimmune rheumatic diseases.
Rivera, Javier; Rodríguez, Tamara; Pallarés, Marta; Castrejón, Isabel; González, Teresa; Vallejo-Slocker, Laura; Molina-Collada, Juan; Montero, Fernando; Arias, Anna; Vallejo, Miguel A; Alvaro-Gracia, Jose M; Collado, Antonio.
  • Rivera J; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain. javierrivera@ser.es.
  • Rodríguez T; GEFISER, Sociedad Española de Reumatología, Barcelona, Spain. javierrivera@ser.es.
  • Pallarés M; GEFISER, Sociedad Española de Reumatología, Barcelona, Spain.
  • Castrejón I; Rheumatology Department, Hospital Clínic de Barcelona, Madrid, Spain.
  • González T; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain.
  • Vallejo-Slocker L; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain.
  • Molina-Collada J; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain.
  • Montero F; Department of Clinical Psychology, National Distance Education University (UNED), Madrid, Spain.
  • Arias A; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain.
  • Vallejo MA; Rheumatology Department, Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Francisco Silvela 40, 28028, Madrid, Spain.
  • Alvaro-Gracia JM; Rheumatology Department, Hospital Clínic de Barcelona, Madrid, Spain.
  • Collado A; Department of Clinical Psychology, National Distance Education University (UNED), Madrid, Spain.
BMC Musculoskelet Disord ; 23(1): 471, 2022 May 19.
Article in English | MEDLINE | ID: covidwho-1951165
ABSTRACT

OBJECTIVES:

To determine the prevalence and characteristics of post-COVID-19 (PC) in fibromyalgia (FM) patients.

METHODS:

Retrospective, multi-centric, observational study, comparing a group of FM patients (FM group) with another group of patients with other rheumatic diseases (RD group). COVID-19 diagnosis was established by positive polymerase chain reaction or antigen during acute infection or by positive antibodies thereafter. We considered PC diagnosis when symptoms remain after COVID-19. We collected the principal characteristics of COVID-19, the severity of fatigue, waking unrefreshed and cognitive impairment, and persistent symptoms. The American College of Rheumatology (ACR) criteria and the Combined Index of Severity in Fibromyalgia (ICAF) were collected in the FM group.

RESULTS:

RD group (n = 56) had more pneumonia (p = 0.001) and hospital admissions (p = 0.002), but the FM group (n = 78) had a higher number of symptoms (p = 0.002). The percentage of patients with PC was similar between groups (FM group 79.5%; RD group 66.1%, p = 0.081). FM group had more PC symptoms (p = 0.001), more impairment after COVID-19 (p = 0.002) and higher severity of fatigue, waking unrefreshed and cognitive impairment (p <  0.0001). Only loss of smell was more frequent in the FM group (p = 0.005). The FM group with PC (n = 29) showed more severity of the Combined Index of Severity in Fibromyalgia (ICAF) total score and physical factor after COVID-19, while emotional, coping factors and the ACR criteria did not change.

CONCLUSIONS:

The prevalence of PC in FM patients is similar to RD patients. In FM patients, the presence of PC does not appear to impact the severity of FM.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Autoimmune Diseases / Fibromyalgia / Rheumatic Diseases / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: BMC Musculoskelet Disord Journal subject: Physiology / Orthopedics Year: 2022 Document Type: Article Affiliation country: S12891-022-05436-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Autoimmune Diseases / Fibromyalgia / Rheumatic Diseases / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: BMC Musculoskelet Disord Journal subject: Physiology / Orthopedics Year: 2022 Document Type: Article Affiliation country: S12891-022-05436-0