Do you use prednisone in the management of patients with persistent respiratory symptoms following acute COVID-19 infection?

No, unless I note bronchial hyperresponsiveness on follow-up Pulmonary function tests (PFTs).

What I've noted is a significantly high percentage of undiagnosed asthmatics who come into the light because of a more severe clinical course from covid. Use anti-fibrotics occasionally for fibrosis dependi...

It's a good question but not a simple yes/no. Many persistent post-COVID symptoms after the acute phases are often due to superimposed bacterial infection. Application of steroids after the acute COVID phase may be harmful in this case.

If I have ruled out infection, have a low procalcitonin level, ...

I have seen a lot of patients with significant pulmonary symptoms after having severe coronavirus infections. Typically, these are patients who have been hospitalized, and in some cases, a patient who spent time on mechanical ventilators. I do a high-resolution CT scan, looking for post-inflammatory...

I agree with Dr. @Dr. First Last in that I don't typically use systemic steroids. I see a younger population and I don't really see the typical fibrotic changes on CT and decreased DLCO. My typical workup is full PFTs, CXR, basic labs and a TTE (mainly aimed at ruling out other causes for their symp...