COVID-19 感染后手术治疗的踝关节反应性关节炎：病例报告。
Surgically treated reactive arthritis of the ankle after COVID-19 infection: A case report.
机构信息
Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
出版信息
J Infect Chemother. 2022 Apr;28(4):587-590. doi: 10.1016/j.jiac.2021.12.028. Epub 2022 Jan 3.
A 37-year-old man developed right ankle pain and swelling six days after being diagnosed with coronavirus disease (COVID-19). Despite conservative treatment, his ankle symptoms persisted. Magnetic resonance imaging and computed tomography showed synovial hypertrophy and bone erosion in the ankle. Following arthroscopic synovectomy, performed 69 days after the COVID-19 diagnosis, the pain improved significantly. The clinical course was consistent with that of reactive arthritis following severe acute respiratory syndrome coronavirus 2 infection. The pathological findings resembled rheumatoid nodules. The bone erosion may have originated from the inflammatory pathway, which resembles the mechanism of rheumatoid arthritis.
一位 37 岁男性在被诊断患有 COVID-19 六天后出现右踝关节疼痛和肿胀。尽管进行了保守治疗，但他的踝关节症状仍持续存在。磁共振成像和计算机断层扫描显示踝关节滑膜增生和骨侵蚀。在 COVID-19 诊断后 69 天进行关节镜滑膜切除术，疼痛明显改善。临床过程与严重急性呼吸综合征冠状病毒 2 感染后的反应性关节炎一致。病理发现类似于类风湿结节。骨侵蚀可能源于炎症途径，类似于类风湿关节炎的机制。
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