A case report of monoarthritis in a COVID-19 patient and literature review: Simple actions for complex times.
Medicine (Baltimore)
; 100(23): e26089, 2021 Jun 11.
Article
in English
| MEDLINE | ID: covidwho-1266221
ABSTRACT
RATIONALE COVID-19 presentation is multifaceted and up to 44% of patients affected by COVID-19 experience musculoskeletal complaints, mostly in the form of diffuse aspecific arthromyalgias. Nevertheless, only a few cases of arthritis following SARS-CoV2 infection are reported. PATIENT CONCERNS A 27-year-old man affected by nail psoriasis presented with monoarthritis 2 weeks after being diagnosed with COVID-19. DIAGNOSES Diagnostic work-up and differential diagnosis were made difficult by patient isolation, absence of lab tests, and his visit via telemedicine, even though signs of first metacarpophalangeal joint involvement were clear. INTERVENTIONS:
Due to the inefficacy of acetaminophen and nonsteroidal anti-inflammatory drugs, the patient was prescribed oral steroids with a rapid benefit.OUTCOMES:
The patient's response to oral steroid was prompt and maintained even after therapy tapering. Even so, a formal diagnosis was not possible due to a difficult diagnostic work-up and lack of a long-term follow-up. LESSONS Like many other viral diseases, SARS-CoV2 can play as a causative agent or as a trigger for inflammatory arthritis development in predisposed individuals.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Arthritis, Reactive
/
COVID-19
/
Metacarpophalangeal Joint
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Prognostic study
/
Reviews
Topics:
Long Covid
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Medicine (Baltimore)
Year:
2021
Document Type:
Article
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