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Response to: ‘Telemedicine will not keep us apart in the COVID-19 pandemic’ by Perniola et al
  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 Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Lombardia, Italy
  1. Correspondence to Professor Carlomaurizio Montecucco, Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy; montecucco{at}

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We thank Perniola et al for their interest in our paper and the circumstantial details on their outpatient activity.1 Our service is a referral rheumatology department with more than 100 outpatients evaluated every day. Since the first Italian subject has been diagnosed with COVID-19 and transferred to our Hospital on 21 February 2020, a prompt reorganisation of our department and of the entire hospital facilities has been carried out in order to create a COVID-19 hub hospital and deal with the emergency at best.2 Starting 24 February 2020, we have severely restricted the access to our outpatient clinic. Nevertheless, we have maintained the administration of intravenous therapies (biologics, antimetabolites and prostanoids) and the evaluation of patients requiring urgent interventions (eg, patients suffering from organ or life-threatening …

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  • Handling editor Josef S Smolen

  • Contributors Study design: LC, VC and CM. Manuscript drafting: EBC, GZ, VC. Manuscript review: LC, AB, VC and CM. Final approval: all authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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