The Autoimmune Registry
Chronic post-COVID-19 syndrome Graphs for this disease are generated based on data from the Autoimmune Registry Inc.
For more information on our data sources, please visit here.
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  • Names
    • Chronic post-COVID-19 syndrome
    • COVID Long-Hauler
    • Long COVID
    • Post-acute COVID-19
    • Post-Acute Sequelae of COVID-19

    Category: Systemic
    Prevalence From 16,178,315 to 16,961,137 cases in the US (Ford 2024). Female/Male ratio: 6.3x.
    Age of Onset No data.
    Description In as many as 50% of cases of COVID-19 infection, the syndrome known as “Long COVID” continues to affect a person for months, even years. Data on this syndrome is mostly anecdotal and unscientific, but some formal research has been completed (citations below).

    The symptoms of Long COVID are familiar to many people suffering from autoimmune diseases, including:

    Fatigue

    An unpredictable flare and remission pattern of recurrence

    “Brain fog”, an interruption of memory, attention, and thought processing that can inhibit or prevent a person from performing normal activities

    There are additional factors that COVID-19 and Long COVID share with autoimmune disease:

    Myocarditis, reported among patients with COVID-19 and, in rare cases, among those who have been vaccinated, is also an autoimmune disease.

    Blood clots similar to those found in the autoimmune disease antiphospholipid syndrome have been reported in patients with COVID-19 and Long COVID (though research suggests that the antibody response in Long COVID is not the same as the response found in autoimmune diseases).

    High levels of antibodies to the immune-system proteins called type I interferons (IFNs) have been associated with severe COVID-19.

    A further factor leading to the inclusion of Long COVID on the list of autoimmune diseases is that evidence shows that severely ill patients tend to have a high concentration of pro-inflammatory cytokines, such as interleukin (IL)-6, compared to those who are moderately ill.

    Finally, there are other suspected associations between viral infection and autoimmune diseases. Most well known of these is the Epstein-Barr virus, which can lead to acute autoimmune diseases like Gulliere-Barre syndrome and chronic diseases like lupus.

    The Autoimmune Registry has decided to include Long COVID in its list of autoimmune diseases to support research into this emerging chronic condition. We classify the level of evidence as “Unconfirmed”, which indicates that:

    The disease follows a pattern common to autoimmune diseases;

    Autoimmunity has not been ruled out; and

    More study is needed.

    Not confirmed as an autoimmune or autoinflammatory disease.


    Patient Groups
    Bloggers
      Symptoms
      Resources Link to Clinical Trials
      Link to PubMed
      References Link to Mayo Clinic
      Link to Cleveland Clinic
      Link to Healthline
      Profile by: Aaron Abend
    • Profile updated December 2022
    • Charts generated Oct 12, 2024 at 12:54 PM ET

    • Chronic post-COVID-19 syndrome sex breakdown


      Chronic post-COVID-19 syndrome age breakdown



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      Graphs for this disease are generated based on data from the Autoimmune Registry Inc.

    • Chronic post-COVID-19 syndrome top autoimmune comorbidities


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      * Disease is suspected as autoimmune, but unconfirmed.
      Data Source: Graphs on this page represent data from the Autoimmune Registry Inc. here. To protect participant anonymity, results derived from fewer than 5 participants are not graphed. The Autoimmune Registry Inc is a 501(c)(3) non-profit supported by donors like you.


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      * Biologic medications.
      Data Source: Graphs on this page represent data in electronic health records from the All of Us research database. As of July 2024, there are 451,000 sets of electronic health records collected from participants. A snapshot of the data can be found here. To protect participant anonymity, results derived from fewer than 20 participants are not graphed.
      The All of Us Research Program is supported by the National Institutes of Health, Office of the Director: Regional Medical Centers: 1 OT2 OD026549; 1 OT2 OD026554; 1 OT2 OD026557; 1 OT2 OD026556; 1 OT2 OD026550; 1 OT2 OD 026552; 1 OT2 OD026553; 1 OT2 OD026548; 1 OT2 OD026551; 1 OT2 OD026555; IAA #: AOD 16037; Federally Qualified Health Centers: HHSN 263201600085U; Data and Research Center: 5 U2C OD023196; Biobank: 1 U24 OD023121; The Participant Center: U24 OD023176; Participant Technology Systems Center: 1 U24 OD023163; Communications and Engagement: 3 OT2 OD023205; 3 OT2 OD023206; and Community Partners: 1 OT2 OD025277; 3 OT2 OD025315; 1 OT2 OD025337; 1 OT2 OD025276. In addition, the All of Us Research Program would not be possible without the partnership of its participants.


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      Data Source: Graphs on this page represent data in self-reported survey results from the All of Us research database. As of July 2024, there are 560,000 participants who have completed these surveys. This dataset, however, may not be representative of the US population. A snapshot of the data can be found here. To protect participant anonymity, results derived from fewer than 20 participants are not graphed.
      The All of Us Research Program is supported by the National Institutes of Health, Office of the Director: Regional Medical Centers: 1 OT2 OD026549; 1 OT2 OD026554; 1 OT2 OD026557; 1 OT2 OD026556; 1 OT2 OD026550; 1 OT2 OD 026552; 1 OT2 OD026553; 1 OT2 OD026548; 1 OT2 OD026551; 1 OT2 OD026555; IAA #: AOD 16037; Federally Qualified Health Centers: HHSN 263201600085U; Data and Research Center: 5 U2C OD023196; Biobank: 1 U24 OD023121; The Participant Center: U24 OD023176; Participant Technology Systems Center: 1 U24 OD023163; Communications and Engagement: 3 OT2 OD023205; 3 OT2 OD023206; and Community Partners: 1 OT2 OD025277; 3 OT2 OD025315; 1 OT2 OD025337; 1 OT2 OD025276. In addition, the All of Us Research Program would not be possible without the partnership of its participants.


    • Join the registry!

      Graphs for this disease are generated based on data from the Autoimmune Registry Inc.