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Reactive arthritis after COVID-19: a case-based review

Journal

RHEUMATOLOGY INTERNATIONAL
Volume 41, Issue 11, Pages 2031-2039

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00296-021-04998-x

Keywords

COVID-19; SARS-CoV-2; Reactive arthritis; Acute arthritis; Viral arthritis

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The COVID-19 pandemic caused by SARS-CoV-2 has deeply impacted the world, leading to investigations on the immune system effects post-infection. A case study of a 53-year-old female patient with acute monoarthritis after SARS-CoV-2 infection showed positive response to diclofenac treatment, prompting further discussions on the immunological mechanisms of post-COVID-19 arthritis.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of the coronavirus disease 19 (COVID-19) pandemic, which is deeply affecting the whole world. In this new case for the scientific world, scientists are investigating the etiopathogenesis of viral infection-induced damage and have started to focus on the short and long-term immune system effects and alterations after SARS-CoV-2 infection. The case is here reported of a 53-year-old female patient with acute monoarthritis after SARS-CoV-2 infection, who responded adequately to 150 mg/day diclofenac treatment, and the available case reports are comprehensively reviewed. With the focus on arthritis after SARS-CoV2 infection, which emerges as a new pathological condition associated with COVID-19, it was aimed to examine the possible immunological mechanisms of post-COVID-19 arthritis based on the current data on SARS-CoV-2 and the known pathogenetic background of viral arthritis.

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