A multicenter cross-sectional French study of the impact of COVID-19 on neuromuscular diseases

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Pisella, Lucie Isoline | Fernandes, Sara | Sole, Guilhem | Stojkovic, Tanya | Tard, Celine | Chanson, Jean Baptiste | Bouhour, Francoise | Salort-Campana, Emmanuelle | Beaudonnet, Guillemette | Deberge, Louise | Duval, Fanny | Grapperon, Aude Marie | Masingue, Marion | Nadaj-Pakleza, Aleksandra | Pereon, Yann | Audic, Frederique | Behin, Anthony | Friedman, Diane | Magot, Armelle | Noury, Jean Baptiste | Souvannanorath, Sarah | Wahbi, Karim | Antoine, Jean Christophe | Bigaut, Kevin | Camdessanche, Jean-Philippe | Cintas, Pascal | Debs, Rabab | Espil-Taris, Caroline | Kremer, Laurent | Kuntzer, Thierry | Laforet, Pascal | Laugel, Vincent | Mallaret, Martial | Michaud, Maud | Nollet, Sylvain | Svahn, Juliette | Vicart, Savine | Villar-Quiles, Rocio Nur | Desguerre, Isabelle | Adams, David | Segovia-Kueny, Sandrine | Merret, Geraldine | Hammouda, Elhadi | Molon, Annamaria | Attarian, Shahram

Edité par CCSD ; BioMed Central -

International audience. Background: Due to their health condition, patients with neuromuscular diseases (NMD) are at greater risk of developing serious complications with COVID-19. The objective of this study was to analyze the prevalence of COVID-19 among NMD patients and the risk factors for its impact and severity during the first wave of the pandemic. Clinical data were collected from NMD-COVID-19 patients, between March 25, 2020 and May 11, 2020 in an anonymous survey carried out by expert physicians from the French Health Care Network Filnemus.Results: Physicians reported 84 patients, including: 34 with myasthenia gravis, 27 with myopathy and 23 with neuropathy. COVID-19 had no effect on NMD for 48 (58%) patients and 48 (58%) patients developed low COVID-19 severity. COVID-19 caused the death of 9 (11%) NMD patients. Diabetic patients were at greater risk of dying. Patients with diabetes, hypertension or severe forms of NMD had a higher risk of developing a moderate or severe form of COVID-19. In our cohort, corticosteroids and other immunosuppressants were not significantly associated with higher COVID-19 severity for acquired NMD.Conclusion: During this period, a small percentage of French NMD patients was affected by COVID-19 compared to the general French population and COVID-19 had a limited short-term effect on them. Diabetes, hypertension and a severe degree of NMD were identified as risk factors of unfavorable outcome following COVID-19. Conversely, in our cohort of patients with acquired NMD, corticosteroids or other immunosuppressants did not appear to be risk factors for more severe COVID-19.

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