What Does Being Immunocompromised Mean for RA Patients in the COVID-19 Era?

Being immunocompromised can affect various aspects of a person’s life, from how they interact with others to how their body responds to vaccinations. With the advent of COVID-19, understanding the implications of being immunocompromised, particularly for individuals with conditions such as Rheumatoid Arthritis (RA), becomes even more crucial.

At its core, an individual is considered immunocompromised when their immune system’s ability to fight off infections and diseases is weakened or reduced. Several conditions and treatments can lead to this state. Autoimmune diseases, which create an overactive immune response, are key contributors. Yale Medicine mentions notable examples, including rheumatoid arthritis, multiple sclerosis (MS), and inflammatory bowel diseases like Crohn’s and ulcerative colitis.

It’s vital to note that the degree of immunocompromise can vary. For instance, Dr. Mark Schutta, an endocrinologist and medical director at Penn Rodebaugh Diabetes Center, states that “Even well-controlled diabetics are immunocompromised to a degree.” Factors such as infections can disrupt immunity and raise blood sugar levels, leading to further infections.

The effectiveness of vaccines can also be impacted by one’s immunocompromised state. As per Stuart Seropian, MD, a hematologist from Smilow Cancer Hospital, the more immunocompromised someone is, the less effective vaccines tend to be for them. This is particularly concerning in light of the ongoing COVID-19 pandemic. A frequent question posed by those with autoimmune or inflammatory conditions, such as RA or lupus, is about the safety and efficacy of COVID-19 vaccines for them. It’s crucial to understand that while vaccines might cause mild side effects, these are generally signs of the immune system building its defenses, as highlighted by the Arthritis Foundation.

Being immunocompromised during these times also affects personal interactions. People with conditions like RA might find touch, such as handshakes or hugs, painful or anxiety-inducing. Therefore, it’s essential for both parties to understand and respect boundaries. If someone declines a gesture, it’s more about protection than a personal slight, as emphasized by CreakyJoints.

In conclusion, being immunocompromised, especially in the age of COVID-19, requires careful consideration and adjustments in various life aspects. It’s paramount to stay informed, take recommended precautions, and maintain open communication with healthcare providers.