海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

Marfan患者はCOVID-19を乗り越えられるのか?


COVID-19 and Marfan/VEDS/LDS: Your Questions Answered

 

45:11-47:53

 

So we'll go over a few of them one of the first one is "Can an individual with Marfan receive treatment and survive COVID-19?" So, Hal, do you want to take that?

最初の質問です。「マルファン症候群患者が新型コロナウイルスに感染した場合、治療を受けられるのか?COVID-19を乗り越えられるのか?」ということです。Diez先生お願いします。

 

Sure, so, you know, what I can say, thank the powers-that-be, is that I have not interacted with anyone with Marfan syndrome who has told me that they definitely have COVID-19 infection but based upon everything that I know and believe, I do believe that people with Marfan syndrome and related disorders in general would behave much like anyone else that has this infection.

誠に残念なことに、マルファン症候群の患者さんで、間違いなくCOVID-19に感染しているとおっしゃる方に私はお会いしたことがありませんが、私のこれまでの経験から、マルファン関連疾患の方は、一般的に他の感染者の方と非常によく似た経過をたどると思います。

 

One point that we haven't made, that I think should be made is for reasons that we don't fully understand this, why all accounts is a very mild infection in young children. Examples of severely affected young children are few and far between and so, you know, again there are high risk categories; we don't want anybody to let their guard down if their child falls into one of those categories but my expectation is that most children with Marfan syndrome would do extremely well with this infection as do most other all, you know, most other children.

ですが、一点わからないのは、なぜ子供は非常に軽い症状ですむのかということです。子供の重篤な症例は稀ではありますが、高リスクな患者群というものは存在しますので、お子さんがその中に属するのであれば、警戒を怠らないようにしてください。私の予測では、他の大部分の子供同様、マルファンのお子さんも軽い症状ですむと思います。

 

And that unless an adult falls into one of those high-risk categories that they could be expected to follow the pattern that we've observed in the general population.

大人の場合、高リスクな患者群に属していない限りは、一般集団と同じ経過をたどると予想されます。

 

We do know that there is an age dependence to the severity of this infection. In older age groups and really once you get above the age of 60 but particularly above the age of 70, the risk of severe features of this disease, the risk of needing intensive care treatment and the risk unfortunately of succumbing to this infection does go up.

COVID-19の重症度は年齢に依存することがわかっています。60歳以上、特に70歳以上の高齢者では、重症化リスクやICUでの治療が必要となる可能性、そして残念ながら死亡リスクが上昇します。

 

So just as I don't think people with Marfan syndrome, most people are particularly prone to severe manifestations of this illness. I also don't believe that they're magically protected from the severe manifestations of this illness and should be following all the routine guidelines that we've been discussing.

マルファン症候群の大部分の方は、重篤な症状が特に出やすいとは考えられません。とはいえ、不思議と重症化リスクから守られるということでもないと思いますので、これまでに紹介したガイドラインに従ってください。

 

The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.

The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。