A1. No asthma or COPD patients developed COVID19 because they simply would have taken their usual rescue inhalers (steroids and beta agonists) when they got the familiar symptoms of cough, shortness of breath, and chest tightness. (The steroids likely masked any fever). Asthma and COPD exacerbations are caused by viruses 80% of the time (rhinoviruses and CORONA viruses). If asthmatics and COPD patients even got COVID19, they would have just increased the frequency of their steroid and beta2 agonist inhalers. It's remarkable that NONE presented to hospital, although you would have expected them to make up 95% of COVID19 patients. Ladies and gentlemen, we have our cure for COVID19, and perhaps for prophylaxis as well.
A2. Patients with a drug allergy or chronic urticaria don't usually take steroids to suppress the condition. They simply avoid the allergen, if it's known. (Patients with chronic idiopathic urticaria might take an anti-histamine if the wheals occur too frequently). Wheals (urticaria) implicate EOSINOPHILS specifically. Eosinophils react to things in the nose, like pollen, viruses (especially influenza), and cause asthma. They're not as strongly implicated in exacerbations of COPD, even though viruses cause both asthma and COPD exacerbations.
So these patients were predisposed to overreact to COVID19 tho' they didn't have the inhalers or familiarity with them to treat it.
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