PDF(Pubmed)
Abstract：
BACKGROUND: 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.
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.
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.
摘要：
背景：COVID-19的表现是多方面的，多达44％的受COVID-19影响的患者会出现肌肉骨骼不适，主要表现为弥漫性非特异性关节痛。然而，仅报道了少数SARS-CoV2感染后的关节炎病例。
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。
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。
