METHODS: A 27-year-old man affected by nail psoriasis presented with monoarthritis 2 weeks after being diagnosed with COVID-19.
METHODS: 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.
METHODS: Due to the inefficacy of acetaminophen and nonsteroidal anti-inflammatory drugs, the patient was prescribed oral steroids with a rapid benefit.
RESULTS: 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.
CONCLUSIONS: Like many other viral diseases, SARS-CoV2 can play as a causative agent or as a trigger for inflammatory arthritis development in predisposed individuals.
方法:一名患有指甲牛皮癣的27岁男子在被诊断为COVID-192周后出现单关节炎。
方法:通过患者隔离,诊断和鉴别诊断变得困难,没有实验室测试,以及他通过远程医疗的访问,尽管第一掌指关节受累的迹象很明显。
方法:由于对乙酰氨基酚和非甾体抗炎药无效,患者接受口服类固醇治疗,获益迅速。
结果:患者对口服类固醇的反应是迅速的,甚至在治疗逐渐减弱后仍保持。即便如此,由于诊断检查困难和缺乏长期随访,因此无法进行正式诊断.
结论:像许多其他病毒性疾病一样,SARS-CoV2可以在易感个体中作为病原体或作为炎性关节炎发展的触发因素。