Commentary: Internal medicine at the crossroads of long COVID diagnosis and management

We read with attention the article by Ranque and Cogan (1) entitled “Internal medicine at the crossroads of Long COVID diagnosis and management.” While the authors raise questions regarding the interplay between persistent symptoms, psychological factors, and illness perception in Long COVID (LC), key aspects of their interpretation do not reflect substantial biomedical evidence, thereby affecting the conclusions drawn. In addition, little attention is paid to the epistemic and clinical implications of uncertainty, including the harm it has caused patients. This commentary offers a constructive critique and proposes a more comprehensive perspective of LC with direct impact on patient care.