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. Author manuscript; available in PMC: 2022 Jun 25.
Published in final edited form as: Ann Rheum Dis. 2021 Jan 12;80(6):817–819. doi: 10.1136/annrheumdis-2020-219808

Table 1.

SARS-CoV-2 antibody test results in rheumatic disease patients with COVID-19 confirmed by PCR

Age, years Sex Rheumatic disease diagnosis Rheumatic disease treatment Timing of SARS-CoV-2 antibody test(s) relative to first positive COVID-19 PCR SARS-CoV-2 antibody test result(s) COVID-19 complications COVID-19 pharmacologic treatment COVID-19 clinical outcome
Negative/variable SARS-CoV-2 antibodies
48 Female Psoriatic arthritis Leflunomide 10 mg daily, prednisone 10 mg daily T+177 days Negative total antibody* None None Fully recovered
62 Female ANCA-associated vasculitis Rituximab 1 g (started T–6 years, most recent dose T–149 days), azathioprine 100 mg daily, prednisone 7.5 mg daily T+28 days
T+71 days
T+111 days
T+216 days
Negative IgG, negative IgM
Negative total antibody*
Negative total antibody*
Negative total antibody*
Hospitalisation with ICU admission
Respiratory failure requiring oxygen therapy by high flow nasal cannula
Hydroxychloroquine, Remdesivir Persistent cough (T+238 days). Oxygen requirement resolved by hospital discharge.
45 Male Antiphospholipid syndrome Prednisone 15 mg daily, cyclophosphamide 250 mg daily, rituximab 1 g (started T–5 years, most recent dose T–11 days), eculizumab 900 mg (started and most recent dose T-9 days) T+28 days
T+81 days
T+87 days
T+107 days
Positive IgM, negative IgG
Positive IgM, positive IgG
Positive IgM, positive IgG
Negative total antibody*
Hospitalisation with ICU admission
Respiratory failure requiring mechanical ventilation; circulatory shock
Remdesivir, SARS-CoV-2 antibody cocktail (regeneron) (T+145 days) Death (T+154 days)
Positive SARS-CoV-2 antibodies
26 Female Systemic lupus erythematosus None T+1 hour
T+7 days
Positive total antibody*
Positive total antibody*
Hospitalisation with ICU admission
TTP requiring plasma exchange and glucocorticoids
None Recurrent TTP episode (T+58 days)
71 Female Rheumatoid arthritis None T+58 days Positive total antibody* None None Fully recovered
73 Male Psoriatic arthritis Etanercept 50 mg weekly T+60 days Positive total antibody* None None Fully recovered
54 Female Systemic lupus erythematosus Rituximab 720 mg (started T–86 days, most recent dose T–2 days) T+60 days IgG positive, IgM not performed None None Fully recovered
63 Female Systemic lupus erythematosus Azathioprine 100 mg daily, belimumab 720 mg monthly (started T–336 days, most recent dose T–20 days) T+88 days Positive total antibody* None None Fully recovered
55 Female Sarcoidosis None T+93 days Positive total antibody* None None Fully recovered
52 Female Rheumatoid arthritis None T+94 days
T+210 days
Positive total antibody*
Positive total antibody*
Hospitalisation without ICU admission
Supplemental oxygen by nasal cannula
None Fully recovered
68 Female Polymyositis Prednisone 6 mg daily, methotrexate 25 mg weekly T+129 days Positive total antibody* None None Fully recovered
51 Female Neurosarcoidosis Methotrexate 15 mg weekly T+155 days Positive total antibody* None None Fully recovered
72 Female Psoriatic arthritis Methotrexate 25 mg weekly T+203 days Positive total tntibody* Hospitalisation without ICU admission; no oxygen requirement None Prolonged fatigue (T+262 days)
*

Measured with the Roche Elecsys assay, which reports the positivity of total SARS-CoV-2 antibody (IgM and IgG) and has 99.5% sensitivity at 14 days after COVID-19 infection.

T=time zero, defined as the date of the first positive COVID-19 PCR test.

Measured with the Viracor Eurofins assay, which reports IgM and IgG antibody positivity to SARS-CoV-2. The sensitivity of the assay is unknown.

ANCA, antineutrophil cytoplasmic antibody; ICU, intensive care unit; PCR, polymerase chain reaction; T, time zero; TTP, thrombotic thrombocytopenic purpura.