Increased Rheumatoid Factor production in patients with severe COVID-19.

Diagn Microbiol Infect Dis

Immunology department, University Hospital F.B., University of Monastir, Monastir, Tunisia. Electronic address:

Published: July 2024

Background: Searching for Rheumatoid Factors (RF) in patients with coronavirus disease (COVID-19) has rarely been described.

Objectives: To investigate the association between RF isotypes (IgM, IgA, and IgG) and different clinical presentations of COVID-19 in a series of Tunisian patients.

Study Design: Eighty-two COVID-19 patients were enrolled in this study. Symptomatic cases were recruited from the Department of COVID-19 and the intensive care unit (ICU) of the University Hospital of Mahdia, Tunisia, from January 2021 to March 2021. Different RF isotypes were assessed using a commercial enzyme-linked immunosorbent assay (ELISA).

Results: Forty-one patients (50%) had RF of any isotype. Thirty-two patients (39%) were tested positive for RF-IgM. Symptomatic forms of the disease were associated with RF-IgM positivity (p = 0.005). The mean concentration of RF-IgM was higher in the severe form than in the moderate and asymptomatic forms (p = 0.006).

Conclusions: Our study suggests that the production of RF-IgM isotype is increased in patients with severe COVID-19.

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http://dx.doi.org/10.1016/j.diagmicrobio.2024.116284DOI Listing

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