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LetterAccepted Article
Open Access

The Question of Whether to Remain on Therapy for Chronic Rheumatic Diseases in the Setting of the Covid-19 Pandemic

Randy Q. Cron and W. Winn Chatham
The Journal of Rheumatology April 2020, jrheum.200492; DOI: https://doi.org/10.3899/jrheum.200492
Randy Q. Cron
From the University of Alabama at Birmingham, Department of Pediatrics, Division of Rheumatology and the Department of Medicine, Division of Clinical Immunology and Rheumatology, Birmingham, Alabama, USA. Drs. Cron and Chatham are co-principal investigators on an investigator-initiated clinical trial to study interleukin 1 blockade in treating secondary HLH in children and adults. The trial is funded by Swedish Orphan Biovitrum Inc. (SOBI; ClinicalTrials.gov: ), which manufactures anakinra. Dr. Cron serves as a consultant to SOBI. Dr. Chatham has served as a consultant to SOBI. Address correspondence to Dr. R.Q. Cron, Children’s of Alabama, Division of Rheumatology, 1600 7th Ave. S., CPPN, Suite G10, Birmingham, Alabama 35233-1711, USA. E-mail: rcron@peds.uab.edu
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W. Winn Chatham
From the University of Alabama at Birmingham, Department of Pediatrics, Division of Rheumatology and the Department of Medicine, Division of Clinical Immunology and Rheumatology, Birmingham, Alabama, USA. Drs. Cron and Chatham are co-principal investigators on an investigator-initiated clinical trial to study interleukin 1 blockade in treating secondary HLH in children and adults. The trial is funded by Swedish Orphan Biovitrum Inc. (SOBI; ClinicalTrials.gov: ), which manufactures anakinra. Dr. Cron serves as a consultant to SOBI. Dr. Chatham has served as a consultant to SOBI. Address correspondence to Dr. R.Q. Cron, Children’s of Alabama, Division of Rheumatology, 1600 7th Ave. S., CPPN, Suite G10, Birmingham, Alabama 35233-1711, USA. E-mail: rcron@peds.uab.edu
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Abstract

We appreciate our Italian colleagues’ interest in our editorial denoting the rheumatologist’s role in helping to diagnose and treat cytokine storm syndrome (CSS) in the setting of the Covid-19 panemic (1). It is encouraging that none of the 123 pediatric rheumatology patients (primarily juvenile idiopathic arthritis) on background biological disease modifying anti-rheumatic drug (bDMARD) therapies in Milan, Italy surveyed over a 7-week period from February 25 through April 14, 2020 (during which time Covid-19 was hyper-endemic there) had either confirmed or suspected Covid-19 (2).

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The Journal of Rheumatology
Vol. 48, Issue 1
1 Jan 2021
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Accepted manuscript
The Question of Whether to Remain on Therapy for Chronic Rheumatic Diseases in the Setting of the Covid-19 Pandemic
Randy Q. Cron, W. Winn Chatham
The Journal of Rheumatology Apr 2020, jrheum.200492; DOI: 10.3899/jrheum.200492

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Accepted manuscript
The Question of Whether to Remain on Therapy for Chronic Rheumatic Diseases in the Setting of the Covid-19 Pandemic
Randy Q. Cron, W. Winn Chatham
The Journal of Rheumatology Apr 2020, jrheum.200492; DOI: 10.3899/jrheum.200492
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