Department of Neurology, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Dublin Neurological Institute at the Mater Misericordiae University Hospital, 57 Eccles Street, Dublin 7, Ireland.
Ir Med J. 2022 Jan 20;115(1):525.
Presentation A 63-year-old man developed polyarthritis two months post recovery from COVID-19 infection. Diagnosis We concluded that the diagnosis was rheumatoid arthritis based upon raised inflammatory markers, positive rheumatoid factor and anti-cyclic citrullinated peptide antibodies. Treatment His symptoms improved with naproxen, corticosteroids, and methotrexate. Discussion We describe a patient with late onset rheumatoid arthritis possibly triggered or unmasked by COVID-19.
病例 A 一位 63 岁男性在 COVID-19 感染康复后两个月出现多发性关节炎。
诊断 根据炎症标志物升高、类风湿因子和抗环瓜氨酸肽抗体阳性,我们诊断为类风湿关节炎。
治疗 他的症状用萘普生、皮质类固醇和甲氨蝶呤改善。
讨论 我们描述了一例 COVID-19 后可能引发或显现的迟发性类风湿关节炎患者。