As promised for #LongCOVID peeps. I have had #COVID 3x and I still struggle with #LongCOVID because it flares with every infection. I likely keep getting it because of the immunocompromise with #LongCOVID. 🧵on the who, what and how based on the nature paper mentioned on @abc730
https://twitter.com/nadahamad/status/1618130511368708101
Who gets #LongCOVID?
10–30% of non-hospitalized
50–70% of hospitalized
10–12% of vaccinated
All ages & highest % in 36-50 year olds MOSTLY WOMEN
Most people with #LongCOVID had a mild infection
1/3 of people with #LongCOVID have no pre-existing conditions
10–30% of non-hospitalized
50–70% of hospitalized
10–12% of vaccinated
All ages & highest % in 36-50 year olds MOSTLY WOMEN
Most people with #LongCOVID had a mild infection
1/3 of people with #LongCOVID have no pre-existing conditions
Risk factors of #LongCOVID:
Type 2 diabetes
EBV reactivation
Autoimmune and connective tissue disorders
ADHD
Chronic skin conditions
Allergic rhinitis
Women
Certain ethnicities
Lower income
Inability to adequately rest in the early weeks after #COVID
Type 2 diabetes
EBV reactivation
Autoimmune and connective tissue disorders
ADHD
Chronic skin conditions
Allergic rhinitis
Women
Certain ethnicities
Lower income
Inability to adequately rest in the early weeks after #COVID
What is #LongCOVID?
Can affect the whole body and it can be different symptoms and combinations for different people with single or multiple organs affected.
Symptoms and causes beautifully depicted in this diagram.
Can affect the whole body and it can be different symptoms and combinations for different people with single or multiple organs affected.
Symptoms and causes beautifully depicted in this diagram.
How does #LongCOVID happen?
Immune dysregulation, microbiota disruption, autoimmunity, clotting, blood vessel damage, dysfunctional neurological signalling.
Severe #COVID infection and also possibly other viruses in the body getting reactivated because of #COVID eg EBV, HHV6.
Immune dysregulation, microbiota disruption, autoimmunity, clotting, blood vessel damage, dysfunctional neurological signalling.
Severe #COVID infection and also possibly other viruses in the body getting reactivated because of #COVID eg EBV, HHV6.
Longer term implications of #LongCovid
Increase risk of blood clots, heart disease and neurological conditions.
Increase risk of blood clots, heart disease and neurological conditions.
When is #LongCovid? variable
-Brain🧠weeks-months after infection & persist longer
-Lung 🫁& gut symptoms resolve faster
-Aches & pains, hair loss, blurry vision & swelling more common later ie at 1 year
-Loss of smell can start at 3 months but resolves
-Brain🧠weeks-months after infection & persist longer
-Lung 🫁& gut symptoms resolve faster
-Aches & pains, hair loss, blurry vision & swelling more common later ie at 1 year
-Loss of smell can start at 3 months but resolves
What is the impact of vaccination on #LongCovid?
-16.7% ⬇️of symptoms
-21.4% ⬆️of symptoms
-Rest unchanged
What is the risk of reinfections on #LongCovid?
-⬆️risk of more #LongCOVID and ME/CFS after 2nd & 3rd infection, even in 2 and 3 vaxed!
-⬆️susceptibility to reinfection
-16.7% ⬇️of symptoms
-21.4% ⬆️of symptoms
-Rest unchanged
What is the risk of reinfections on #LongCovid?
-⬆️risk of more #LongCOVID and ME/CFS after 2nd & 3rd infection, even in 2 and 3 vaxed!
-⬆️susceptibility to reinfection
What can you do?
-Avoid #COVID
-Get treated and rest when you get #COVID
-Find doctors who know about #LongCovid (a challenge I know 😒)
-Learn about your condition so you are not dismissed
-Early evidence based treatments so far in table below
-Avoid #COVID
-Get treated and rest when you get #COVID
-Find doctors who know about #LongCovid (a challenge I know 😒)
-Learn about your condition so you are not dismissed
-Early evidence based treatments so far in table below
• • •
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