Can SARS-CoV-2 infection trigger rheumatoid arthritis? A case report.
Sirine BouzidKawther Ben AbdelghaniSaoussen MilediAlia FazaaAhmed LaatarPublished in: Clinical case reports (2022)
Inflammatory arthritis has been reported after SARS-COV-2 infection. We present a case of a 38-year-old female patient who developed polyarthralgia 1 month after SARS-COV-2 infection. Musculoskeletal examination was significant for synovitis of hands and wrists. Antinuclear antibody (ANA), rheumatoid factor (RF), and anti-cyclic citrullinated peptide (CCP) antibodies were positive. Magnetic resonance imaging of the hands showed synovitis of the metacarpophalangeal joints and proximal interphalangeal joints of the hands, wrist joints, and tendinitis with tenosynovitis. The patient was diagnosed with seropositive nonerosive rheumatoid arthritis (RA) and initiated on therapy using nonsteroidal anti-inflammatory agents and disease-modifying anti-rheumatic drug methotrexate leading to an improvement in symptoms.
Keyphrases
- rheumatoid arthritis
- disease activity
- magnetic resonance imaging
- respiratory syndrome coronavirus
- case report
- anti inflammatory
- ankylosing spondylitis
- interstitial lung disease
- rheumatoid arthritis patients
- computed tomography
- oxidative stress
- sars cov
- stem cells
- coronavirus disease
- emergency department
- bone marrow
- systemic lupus erythematosus
- physical activity
- adverse drug