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논문 기본 정보

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학술저널
저자정보
Madhavi Eerike (Department of Pharmacology, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Vijaya Prasanna Parimi (Department of Rheumatology, ESIC Medical College, Sanathnagar, Hyderabad, India) Anand Pyati (Department of Biochemistry, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Raja Sundaramurthy (Department of Microbiology, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Varadharajan Sakthivadivel (Department of General Medicine, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Aswini Bramarambika Pidugu (Department of Pharmacology, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Bhavana Surapareddy (Department of Rheumatology, ESIC Medical College, Sanathnagar, Hyderabad, India) Naga Tejaswini Ramineni (Department of Rheumatology, ESIC Medical College, Sanathnagar, Hyderabad, India) Rekha Priyadarshini (Department of Pharmacology, All India Institute of Medical Sciences, Bibinagar, Telangana, India) Parag Parshuram Patil (Department of Pathology, All India Institute of Medical Sciences, Bibinagar, Telangana, India)
저널정보
대한류마티스학회 대한류마티스학회지 Journal of Rheumatic Diseases Vol.31 No.1
발행연도
2024.1
수록면
15 - 24 (10page)
DOI
10.4078/jrd.2023.0054

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Objective: This study was conducted to investigate the immunological and clinical response to COVID-19 vaccination in rheumatoid arthritis (RA) patients receiving disease modifying antirheumatic drugs (DMARDs). Methods: A cross-sectional study was conducted among RA patients who received two doses of COVID-19 vaccine within 6 months to one year. Demographic information, comorbidities, vaccination details, and past COVID-19 infection details were collected. Hemoglobin (Hb), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and interleukin-6 (IL-6) levels were estimated. Disease Activity Score-28 (DAS-28) was calculated for RA patients. Anti-spike antibody (ASA) concentrations were measured, and compared with a healthy control population. Correlations of ASA with age, sex, disease parameters, medication use, and comorbidities were assessed. Results: A total of 103 RA patients and 185 controls were included in the study. RA patients had higher mean age, lower mean Hb, higher ESR, and elevated IL-6 levels. Both groups showed positive results for anti-spike antibodies, with a higher percentage in controls. Among RA patients majority had low DAS-28 score. The number of DMARDs used showed a negative correlation with antibody levels. There was a slight positive correlation between ASA concentration and DAS-28 score. Comorbidities did not significantly influence antibody concentration. No significant differences were found in antibody levels based on the type of COVID-19 vaccine or previous COVID-19 infection or booster dose vaccination among RA patients. Conclusion: The study revealed that RA patients showed a reduced antibody response following COVID-19 vaccination compared to the control group and potentially influenced by immunosuppressive treatments and disease-related factors.

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