Reactive arthritis after COVID-19

Hønge, Bo Langhoff; Hermansen, Marie‐Louise From; Storgaard, Merete

doi:10.1136/bcr-2020-241375

Cited by 53 publications

(68 citation statements)

References 9 publications

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“…Yokogawa and colleagues described a man with knee arthritis occurring during COVID-19, resolving spontaneously, suspected to be a viral arthritis [ 31 ]. Langhoff Hønge et al describe a case that presented with acute polyarthritis and fever a few days after discharge from hospital with COVID-19 and responded well to treatment as reactive arthritis [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Rheumatological complications of Covid 19

Zacharias

Dubey

Koduri

et al. 2021

Autoimmunity Reviews

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Introduction COVID-19 has caused unprecedented hardships in the 21st century with more than 150 million infections. Various immunological phenomena have been described during the course of the infection, and this infection has also triggered autoimmunity. Rheumatological illnesses have been described following resolution of the acute infection; hence we sought to conduct a review of the rheumatological complications of COVID-19. Methods We conducted a literature search for articles relating to sequelae of COVID-19 from Jan 2020 to 30th April 2021. Results We found a number of reports of inflammatory arthritis after SARS-CoV-2 infection. SLE and renal disease have been described, and vasculitis also appears to be a common complication. Rhabdomyolysis and myositis has also been reported in a number of patients. We also found some evidence of large vessel vasculitis in ‘long COVID’ patients. Conclusions This review highlights a number of important complications such as inflammatory arthritis, lupus-like disease, myostis and vasculitis following SARS-CoV-2 infection.

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Section: Resultsmentioning

confidence: 99%

Rheumatological complications of Covid 19

Zacharias

Dubey

Koduri

et al. 2021

Autoimmunity Reviews

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“…Regarding articular involvement, some cases of arthritis have been described after SARS-CoV-2 infection, as could happen in other viral diseases, but further studies and long-term follow-up are required [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

“…Sometimes patients can develop other musculoskeletal symptoms and signs, such as enthesitis, tenosynovitis or dactylitis [ 13 , 14 , 15 , 16 , 17 , 18 , 20 , 21 , 22 , 24 , 27 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]; isolated reactive inflammatory sacroiliac involvement after COVID-19 has been rarely recorded.…”

Section: Introductionmentioning

confidence: 99%

Post-COVID-19 Arthritis and Sacroiliitis: Natural History with Longitudinal Magnetic Resonance Imaging Study in Two Cases and Review of the Literature

Colatutto

Sonaglia

Zabotti

et al. 2021

Viruses

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Severe acute respiratory coronavirus-2 syndrome (SARS-CoV-2) is a well-known pandemic infectious disease caused by an RNA virus belonging to the coronaviridae family. The most important involvement during the acute phase of infection concerns the respiratory tract and may be fatal. However, COVID-19 may become a systemic disease with a wide spectrum of manifestations. Herein, we report the natural history of sacroiliac inflammatory involvement in two females who developed COVID-19 infection with mild flu-like symptoms. After the infection they reported inflammatory back pain, with magnetic resonance imaging (MRI) studies showing typical aspects of sacroiliitis. Symptoms improved with NSAIDs therapy over the following months while MRI remained positive. A literature review was performed on this emerging topic. To our knowledge, this is the first MRI longitudinal study of post-COVID-19 sacroiliitis with almost one year of follow-up. Predisposing factors for the development of articular involvement are unclear but a long-lasting persistence of the virus, demonstrated by nasopharyngeal swab, may enhance the probability of altering the immune system in a favourable background.

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“…Whereas arthritis has been described in the context of COVID-19 infection, to our knowledge none have been in MIS-C, and only one in a minor [7]. Several authors have described a clinical picture of reactive arthritis, with the presentation of arthritis 8 to 25 days after the initial infection [7,19,20] (Parisi -Langhoff). All of these patients had involvement of joints in the lower members, typical for reactive arthritis, although none describe positivity of HLA-B27.…”

Section: Discussionmentioning

confidence: 99%