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Immunoserologic Detection and Diagnostic Relevance of Cross-Reactive Autoantibodies in Coronavirus Disease 2019 Patients
Author(s) -
María Teresa Schiaffino,
Marisa Di Natale,
Elena GarcíaMartínez,
J. Navarro,
José Luis MuñozBlanco,
Pablo DemeloRodríguez,
Paloma SánchezMateos
Publication year - 2020
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1093/infdis/jiaa485
Subject(s) - autoantibody , seroconversion , medicine , covid-19 , coronavirus , clinical significance , immunofluorescence , gastroenterology , pathology , antibody , disease , immunology , infectious disease (medical specialty)
Background During the coronavirus disease 2019 (COVID-19) pandemic, we detected a new immunofluorescence (IF) pattern in serum autoantibody (autoAb) screening of laboratory-confirmed COVID-19 patients. Methods The IF pattern was composed of liver and gastric mucosa staining on rat kidney/liver/stomach sections. Results We describe 12 patients positive for the cross-reactive antibody, compared with a negative group of 43 hospitalized COVID-19 patients, finding association with either neurologic or thrombotic complications. In sequential pre- and post-COVID-19 serum samples, we confirmed autoAb seroconversion. Conclusions Our data indicate that autoAb screening in COVID-19 patients may be easily performed by IF and alert for autoreactive-mediated complications such as thrombotic or neurologic events.

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