Table 1

Clinical features and management of three patients under bDMARD or tsDMARD during COVID-19 admission

CharacteristicsPatient 1Patient 2Patient 3
Sex (M/F)FFM
Age (years)755466
Rheumatic diseaseRheumatoid arthritis RF+Rheumatoid arthritis (RF−, ACPA−)Psoriatic arthritis
Years since diagnosis1829
Current bDMARD/tsDMARDBaricitinib 4 mg/dayEtanercept 50 mg/weekAdalimumab 40 mg/2 weeks
Current DMARDMethotrexate 10 mg/week Hydroxychloroquine 400 mg
Previous treatmentEtanercept
Baricitinib
Methotrexate
Leflunomide
Etanercept
Methotrexate
Leflunomide
Hydroxychloroquine
Adalimumab
Methotrexate
Disease activity (date)DAS28 4,26
(9 March 2020)
DAS28: 4,08.
(27 January 2020)
DAS28: 1,61.
DAPSA: 0,2.
(12 December 2019)
Hypertension and
treatment
Yes
Valsartan Hydrochlorothiazide
NoYes
No treatment
Diabetes mellitus and
treatment
NoNoNo
Dyslipidaemia and
treatment
Yes
Atorvastatin
NoYes
Pravastatin Gemfibrozil
BMI (kg/m2)21.928.435.38
Other comorbiditiesAsthmaNoNo
SmokingNoFormer smokerNo
AlcoholNoNoYes
Recreational drugsNoNoNo
Days from symptoms onset to hospital admission221510
Clinical symptomsCoughCough, fever, fatigueCough, dyspnoea
Radiological patternNormalPeripheral bilateral interstitial infiltratePeripheral bilateral interstitial infiltrate
 PCR for SARS-CoV-2++ +
Ferritin at admission and maximum42
61
404
690
1044
1179
IL-6 at admission113622
LDH on admission and maximum219
253
252
327
201
264
D-Dimer at admission0.593,720.75
Lymphocytes570660850
Treatment for COVID-19HydroxychloroquineHydroxychloroquine
Azithromycin
Hydroxychloroquine
Azithromycin
Methylprednisolone
Colchicine
Worst PaO2/FiO2 (PaFi) or SatO2/O2 (SpaFi)SpaFi 452SpaFi 443SpaFi 448
Oxygen therapy, nasal cannula, non-invasive ventilation, high-flow oxygen supportNoNoNo
Intensive care unitNoNoNo
Orotracheal intubation or invasive mechanical ventilationNoNoNo
Complications (deep vein thrombosis, pulmonary embolism, cardiac arrhythmia, bacterial infection, death)NoAcute pyelonephritisNo
  • bDMARD, biological DMARD; BMI, body mass index; DMARD, disease-modifying antirheumatic drug; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; tsDMARD, targeted synthetic DMARD.