—Long COVID（2）—コロナ後遺症外来の現状

Outpatient Clinic for Long COVID

国立精神・神経医療研究センター病院における，コロナ後遺症外来の現状をまとめた。いわゆる罹患後症状であるlong COVID（PASC）は，病態が解明されておらず，症候もさまざまである。しかし，患者数は増加しており，多くの医療機関で診療に携わる機会が増えている。診断・検査・治療法が確立していないが，個々の患者の症状を評価のうえ，長期的に診療にあたるスタンスが求められる。さらに，わが国としても，PASCを長期的に検討する体制の構築が急がれる。

Abstract

We summarize the current status of outpatient clinics for patients with long-term coronavirus disease 2019-associated post-acute sequelae severe acute respiratory syndrome coronavirus 2 infection (PASC) at the National Center of Neurology and Psychiatry Hospital. The pathogenesis of PASC is not well understood and its symptoms vary. Recently, the number of patients with PASC has been increasing, meaning that many physicians will need to treat such patients occasionally. Although diagnostic, testing, and treatment methods have not been established, clinicians must apply a long-term management approach to patients based on the clinical evaluation of each individual. Furthermore, there is an urgent need to establish a system for analyzing PASC on a long-term basis.