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Letter
COVID-19 infection in a northern-Italian cohort of systemic lupus erythematosus assessed by telemedicine
  1. Emanuele Bozzalla Cassione1,2,
  2. Giovanni Zanframundo1,2,
  3. Alessandro Biglia1,2,
  4. Veronica Codullo1,2,
  5. Carlomaurizio Montecucco1,2,
  6. Lorenzo Cavagna1,2
  1. 1 Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
  2. 2 University of Pavia, Department of Internal Medicine and Medical Therapeutics, Pavia, Lombardia, Italy
  1. Correspondence to Professor Carlomaurizio Montecucco, Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia 27100, Italy; montecucco{at}smatteo.pv.it

https://doi.org/10.1136/annrheumdis-2020-217717

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    The COVID-19 pandemic deeply affected northern-Italian regions.1 Lombardy and Emilia-Romagna had the highest cumulative incidence with 627.1 and 470.53 cases/100 000 inhabitants respectively on 16 April 2020 according to Italian ‘Istituto Superiore di Sanità’ (ISS). While a mild course has been reported in patients with chronic arthritis treated with targeted immunosuppressive agents,2 few and controversial data are available about COVID-19 in systemic lupus erythematosus (SLE).3 4 To this purpose, since 6 April 2020, given the mobility restriction imposed nationwide, we initiated a telemedicine project aimed at ensuring regular follow-up, starting from SLE patients.5 During the visit, we conducted a survey to investigate any COVID-19 related symptoms that occurred since 15 February 2020 and the results of available nasopharyngeal swabs. The survey was addressed to patients coming from Lombardy and Emilia-Romagna. We evaluated 165 patients (112 females, 84%, median age 52.5 years, range 25–81; median disease duration 13 years, range 1–53). Among them, 127 (77%) were on hydroxychloroquine …

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