Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination

The review analyzes data on the course and outcomes of axial spondyloarthritis (axSpA) accumulated over the previous 2.5 years of the COVID-19 pandemic. The issues of clinical and immunological efficacy of vaccination against COVID-19 in this disease are considered. It was noted that the presence of...

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Main Authors: Sh. F. Erdes, B. S. Belov
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2023-02-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/1396
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author Sh. F. Erdes
B. S. Belov
author_facet Sh. F. Erdes
B. S. Belov
author_sort Sh. F. Erdes
collection DOAJ
description The review analyzes data on the course and outcomes of axial spondyloarthritis (axSpA) accumulated over the previous 2.5 years of the COVID-19 pandemic. The issues of clinical and immunological efficacy of vaccination against COVID-19 in this disease are considered. It was noted that the presence of axSpA, as well as treatment with tumor necrosis factor-á inhibitors and non-steroidal anti-inflammatory drugs, did not significantly increase the risk of COVID-19 infection and did not worsen its outcomes, apart from an increase in the incidence of venous thromboembolism. At the same time, it is assumed that anticytokine therapy for SpA may protect against severe COVID-19 course.The data presented suggest that the benefits of vaccination in SpA far outweigh the potential harms associated with the development of adverse events. It has been shown that in patients with SpA, vaccination does not affect the activity of the inflammatory process, and biologic disease modifying antirheumatic drugs have almost no significant effect on the post-vaccination response.
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series Современная ревматология
spelling doaj-art-cf3098012ec74436be96535c3ccfaaab2025-08-20T03:38:13ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2023-02-0117110.14412/1996-7012-2023-1-101-1072558Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccinationSh. F. Erdes0B. S. Belov1V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyThe review analyzes data on the course and outcomes of axial spondyloarthritis (axSpA) accumulated over the previous 2.5 years of the COVID-19 pandemic. The issues of clinical and immunological efficacy of vaccination against COVID-19 in this disease are considered. It was noted that the presence of axSpA, as well as treatment with tumor necrosis factor-á inhibitors and non-steroidal anti-inflammatory drugs, did not significantly increase the risk of COVID-19 infection and did not worsen its outcomes, apart from an increase in the incidence of venous thromboembolism. At the same time, it is assumed that anticytokine therapy for SpA may protect against severe COVID-19 course.The data presented suggest that the benefits of vaccination in SpA far outweigh the potential harms associated with the development of adverse events. It has been shown that in patients with SpA, vaccination does not affect the activity of the inflammatory process, and biologic disease modifying antirheumatic drugs have almost no significant effect on the post-vaccination response.https://mrj.ima-press.net/mrj/article/view/1396axial spondyloarthritisankylosing spondylitiscovid-19vaccinationoutcomes
spellingShingle Sh. F. Erdes
B. S. Belov
Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
Современная ревматология
axial spondyloarthritis
ankylosing spondylitis
covid-19
vaccination
outcomes
title Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
title_full Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
title_fullStr Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
title_full_unstemmed Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
title_short Axial spondyloarthritis and COVID-19: course, interactions, outcomes, and the role of vaccination
title_sort axial spondyloarthritis and covid 19 course interactions outcomes and the role of vaccination
topic axial spondyloarthritis
ankylosing spondylitis
covid-19
vaccination
outcomes
url https://mrj.ima-press.net/mrj/article/view/1396
work_keys_str_mv AT shferdes axialspondyloarthritisandcovid19courseinteractionsoutcomesandtheroleofvaccination
AT bsbelov axialspondyloarthritisandcovid19courseinteractionsoutcomesandtheroleofvaccination