Table 1.
Patients’ disease characteristics at COVID-19 infection | COVID-19 characteristics | |||||||||||
Patient | Sex | ARS | Anti-Ro52 | Age (years) | Disease duration (months) | ASSD triad | Lung pattern | Ongoing treatment | COVID-19 length (days) | Hospital admission | Dyspnoea | Pneumonia |
1 | m | Jo1 | Negative | 68 | 22 | AMI | NSIP | Cys + MTX + PDN (5 mg/day) + O2 (intermittent) | 16 | yes | yes | yes |
2 | f | Jo1 | Negative | 26 | 103 | AMI | UIP | Cys | 24 | No | No | No |
3 | f | Jo1 | Negative | 50 | 141 | MI | NSIP + OP | Aza + HCQ + PDN (6.25 mg/day) | 42 | No | No | No |
4 | f | Jo1 | Positive | 38 | 91 | AMI | NSIP | Cys | 10 | No | No | No |
5 | f | Jo1 | Negative | 49 | 41 | AMI | NSIP | Cys + MTX + HCQ + PDN (5 mg/day) | 6 | Yes | Yes | Yes |
6 | f | PL7 | Positive | 51 | 19 | MI | NSIP | Cys + PDN (7.5 mg/day) + O2 (intermittent) | 46 | No | No | No |
7 | m | Jo1 | Negative | 44 | 72 | AMI | OP | Cys + Aza + PDN (7.5 mg/day) | 16 | No | No | No |
8 | f | PL12 | Negative | 65 | 68 | AM | – | MTX | 28 | No | No | No |
9 | m | Jo1 | Negative | 60 | 58 | AMI | NSIP | MTX | 50 | Yes | Yes | Yes |
10 | f | PL7 | Negative | 51 | 12 | MI | NSIP | MTX + PDN (5 mg/day) + O2 therapy (intermittent) | 14 | Yes | Yes | Yes |
11 | f | Jo1 | Negative | 85 | 63 | AMI | NSIP | Cys + PDN (7.5 mg/day) + O2 (intermittent) | 24 | Yes | Yes | Yes |
12 | f | PL7 | Positive | 63 | 16 | I | NSIP | – | 9 | Yes | Yes | No |
COVID-19 characteristics | ASSD manifestations outcome | |||||||||||
Minimum SaO2 | T max (°C) | Other symptoms | Covid-19 treatment | Disease flares (months after COVID-19) | New clinical findings (months after COVID-19) | Basal FVC | 6 months FVC | Basal DLCO | 6 months DLCO | |||
90 | 38.5 | - | Desa + Rem + LWMH + O2 | Lung (2), joints (4) | Raynaud's phenomenon (1), pulmonary hypertension (6), myocarditis (6) | 87 | 84 | p=0.128* | 59 | 40 | p=0.684* | |
97 | 37.5 | Anosmia, diarrhea, headache | – | No | No | 62 | 58 | 54 | 44 | |||
98 | 36.4 | Anosmia | – | No | No | 106 | 99 | 57 | 78 | |||
97 | 37.9 | Anosmia, headache | – | No | No | 80 | 84 | 76 | 75 | |||
92 | 38.5 | Diarrhea | Desa + LWMH | No | No | 83 | 94 | 59 | 66 | |||
97 | 37.7 | Anosmia, ageusia | – | No | No | 38 | 46 | 32 | 33 | |||
98 | 36.5 | Anosmia | – | No | No | 78 | 77 | 45 | 47 | |||
98 | 37.5 | Anosmia, ageusia, headache | – | No | No | 136 | 102 | 95 | 101 | |||
93 | 38 | Headache | – | No | No | 94 | 85 | 95.6 | 128 | |||
89 | 38 | Diarrhea, Headache | PDN | No | No | 82 | 82 | 45 | 42 | |||
90 | 38 | Anosmia | Desa + LWMH + O2 | No | Diaphragm impairment (6) | 69 | 42 | 42 | 35 | |||
95 | 38 | Anosmia, ageusia | – | No | no | 114 | 100 | 51 | 45 |
ASSD antisynthetase syndrome, ARS anti-aminoacyl tRNA synthetase antibodies, T max (°C) maximum body temperature in Celsius degree, m male, f female, PL7 anti-threonyl-tRNA synthetase antibodies, PL12 anti-alanyl-tRNA synthetase antibodies, Jo1 anti-histidyl-tRNA synthetase antibodies, AMI arthritis, myositis, interstitial lung disease, MI myositis, interstitial lung disease, AM arthritis, myositis, I interstitial lung disease, NSIP non-specific interstitial pneumonia, UIP usual interstitial pneumonia, OP organizing pneumonia, Cys Cyclosporine, MTX methotrexate, Aza Azathioprine, PDN prednisone, HCQ hydroxychloroquine, FVC forced vital capacity, DLCO diffusing capacity for carbon monoxide, SaO2 peripheral oxygen saturation, O2 oxygen, Desa dexamethasone, Rem remdesivir, LWMH low weight molecular heparin
*Statistical analysis by paired sample t-test