HemaSphere (Aug 2020)

How We Manage Patients With Chronic Lymphocytic Leukemia During the SARS-CoV-2 Pandemic

  • Davide Rossi,
  • Mazyar Shadman,
  • Adalgisa Condoluci,
  • Jennifer R. Brown,
  • John C. Byrd,
  • Gianluca Gaidano,
  • Michael Hallek,
  • Peter Hillmen,
  • Anthony Mato,
  • Emili Montserrat,
  • Paolo Ghia

DOI
https://doi.org/10.1097/HS9.0000000000000432
Journal volume & issue
Vol. 4, no. 4
p. e432

Abstract

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Abstract. Infections are a major cause of morbidity and mortality in patients with chronic lymphocytic leukemia (CLL). These can be exacerbated by anti-leukemic treatments. In addition, the typical patients with CLL already have fragilities and background risk factors that apply to the general population for severe COVID-19. On these bases, patients with CLL may experience COVID-19 morbidity and mortality. Recurrent seasonal epidemics of SARS-CoV-2 are expected, and doctors taking care of patients with CLL must be prepared for the possibility of substantial resurgences of infection and adapt their approach to CLL management accordingly. In this Guideline Article, we aim at providing clinicians with a literature-informed expert opinion on the management of patients with CLL during SARS-CoV-2 epidemic.