COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response

We here report a case of COVID-19 with effusion prior to the development of pneumonia in an adult with Down syndrome. Serositis due to rheumatic disease was initially suspected because of a high titer of serum autoantibodies and leukocytopenia; however, SARS-CoV-2 infection was confirmed by reverse...

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Main Authors: Hiroshi Kobayashi, Mana Akiniwa, Yoshiko Yamaguchi, Yuji Hirai, Akiko Aoki
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/6128496
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author Hiroshi Kobayashi
Mana Akiniwa
Yoshiko Yamaguchi
Yuji Hirai
Akiko Aoki
author_facet Hiroshi Kobayashi
Mana Akiniwa
Yoshiko Yamaguchi
Yuji Hirai
Akiko Aoki
author_sort Hiroshi Kobayashi
collection DOAJ
description We here report a case of COVID-19 with effusion prior to the development of pneumonia in an adult with Down syndrome. Serositis due to rheumatic disease was initially suspected because of a high titer of serum autoantibodies and leukocytopenia; however, SARS-CoV-2 infection was confirmed by reverse transcription polymerase chain reaction on admission after previous negative tests. Several cases of COVID-19 have been associated with autoimmune responses along with some cases of COVID-19 with autoimmune manifestations. Furthermore, patients with Down syndrome have a higher mortality risk from COVID-19 than the general population, and it is believed that a high sensitivity to the interferon response may contribute to the increased severity of the disease. Thus, careful attention should be paid to autoimmune manifestations due to SARS-CoV-2 infection for ensuring a proper and timely diagnosis, especially in patients with Down syndrome.
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spelling doaj-art-0ce558e8d91d47cbbe765f3e714f4ed02025-08-20T02:03:01ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/6128496COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune ResponseHiroshi Kobayashi0Mana Akiniwa1Yoshiko Yamaguchi2Yuji Hirai3Akiko Aoki4Department of RheumatologyDepartment of RheumatologyDepartment of General Medicine and Primary CareDepartment of Infectious DiseasesDepartment of RheumatologyWe here report a case of COVID-19 with effusion prior to the development of pneumonia in an adult with Down syndrome. Serositis due to rheumatic disease was initially suspected because of a high titer of serum autoantibodies and leukocytopenia; however, SARS-CoV-2 infection was confirmed by reverse transcription polymerase chain reaction on admission after previous negative tests. Several cases of COVID-19 have been associated with autoimmune responses along with some cases of COVID-19 with autoimmune manifestations. Furthermore, patients with Down syndrome have a higher mortality risk from COVID-19 than the general population, and it is believed that a high sensitivity to the interferon response may contribute to the increased severity of the disease. Thus, careful attention should be paid to autoimmune manifestations due to SARS-CoV-2 infection for ensuring a proper and timely diagnosis, especially in patients with Down syndrome.http://dx.doi.org/10.1155/2022/6128496
spellingShingle Hiroshi Kobayashi
Mana Akiniwa
Yoshiko Yamaguchi
Yuji Hirai
Akiko Aoki
COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
Case Reports in Infectious Diseases
title COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
title_full COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
title_fullStr COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
title_full_unstemmed COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
title_short COVID-19 in an Adult with Down Syndrome: Impact on Autoimmune Response
title_sort covid 19 in an adult with down syndrome impact on autoimmune response
url http://dx.doi.org/10.1155/2022/6128496
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AT yoshikoyamaguchi covid19inanadultwithdownsyndromeimpactonautoimmuneresponse
AT yujihirai covid19inanadultwithdownsyndromeimpactonautoimmuneresponse
AT akikoaoki covid19inanadultwithdownsyndromeimpactonautoimmuneresponse