Charité Berlin;

"Chronic COVID-19 Syndrome at months 6 is a multisymptomatic frequently debilitating disease fulfilling diagnostic criteria of ME/CFS in about half of the patients in our study."

#pwme #LongCovid

medrxiv.org/content/10.110…

medrxiv.org/content/10.110…
Mannose-binding lectin plays an important role in the body's immune response by attaching to foreign invaders such as bacteria, viruses, or yeast and turning on (activating) the complement system.

I'm curious if this was already present beforehand onset of the infection?
"In our patient cohort of younger patients with mostly mild
COVID-19, we have, however, no evidence for potential confounding organ impairment
or major depressive or anxiety diseases in accordance with other reports."
"Furthermore, in this (another) study
a minority of patients had evidence for depression or anxiety in line with our data,
providing evidence that despite a high illness burden mental health is not relevantly
impaired in most patients with CCS."
"Our study provides evidence that patients following mild COVID-19 develop a chronic
syndrome fulfilling diagnostic criteria of ME/CFS in a subset. We must anticipate that
this pandemic has the potential to dramatically increase numbers of ME/CFS patients.
At the same time"
it offers the unique chance to identify #MECFS patients in a very early stage of disease, so that interventions such as pacing and coping can be applied early
with a better therapeutic prognosis. Further, it is an unprecedented opportunity to
understand the pathomechanisms &"
characterize targets for specific treatment approaches"

In other words very interesting for #pwME, #LongCovid and many other "post"-infectious conditions.

Encore!!!! ✌️

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More from @AnilvanderZee

17 Dec 20
1) #reCOVer is een nieuwe studie geleid door prof. Hans Knoop van het NKCV @amsterdamumc die mensen met #LongCovid wil gaan behandelen met CGT om chroniciteit vermoeidheid te voorkomen…

moenacovid.nl

Bij ME, of eigenlijk CVS, waar zo'n 70-80% van de patiënten
2) post-viraal ziek blijven wordt deze behandeling al decennia lang als "voorkeursbehandeling" standaard toegepast.

Het bewijs voor CGT CVS = belabberd maar 't wordt verkocht als fantastisch. Op de NKCV site wordt ook vermeld dat CVS geen chron. aandoening is. Volledig herstel!
3) De patiënt wordt aangeleerd dat deze na bijv. een infectie niet meer aantoonbaar ziek is en dat deze door niet helpende gedachten over het hebben van een somatische aandoening en door deconditionering de "vermoeidheid" in stand houdt. Door het gedrag (actiever worden) en
Read 21 tweets
1 Dec 20
@mellojonny @DianeOLeary @rmm_0811 @eleanormorgan @ObsMagazine 1) Thank you for sharing. Great perspective from a GP. Really caring is of the utmost importance, but as I explained in my blog. If clinicians lack basic knowledge miscommunication & therefore possible iatrogenic harm might still be just around the corner.

I think that's also
@mellojonny @DianeOLeary @rmm_0811 @eleanormorgan @ObsMagazine 2) why the #ACE subject exploded. Previous studies (Heim et al., 2009) indeed showed a "well established link" between ACE & ME. However just like with the CBT/GET, it was based on broad empirical definition of ME or rather CFS.

The IOM report 2015 and Clark et al., 2007
@mellojonny @DianeOLeary @rmm_0811 @eleanormorgan @ObsMagazine 3) disagree with Heim et al.. Once controlled for these factors Clark et al. found rates from 61% to only 17%. I personally don't think this correlation will be any different with #LongCovid. Therefore the link is indeed old but also imo debunked news.

tandfonline.com/doi/full/10.10…
Read 5 tweets

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