类风湿性关节炎和后冠状病毒综合征

Yuriy Nikirenkov
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引用次数: 0

摘要

随着SARS-CoV-2(严重急性呼吸综合征冠状病毒2)大流行进入第三个年头,医生们越来越多地面临一种新的病理,即后covid综合征(PCS)。PCS的常见表现之一是肌肉骨骼症状复合物,表现为肌痛、关节痛和关节炎。今天,没有一个普遍接受的术语、定义、分类、诊断标准,也没有关于PCS持续时间的共识。文献中对SARS-CoV-2后发生类风湿性关节炎(RA)的病例有足够的描述。问题来了:这是巧合还是COVID-19(2019冠状病毒病)是RA的触发因素?从医学界已经表达的观点来看,COVID-19可以揭开以前未确诊的类风湿性关节炎的面纱,或引起新发疾病。此外,关节炎的发作可能是PCS的一种表现,可能是短暂的。SARS-CoV-2感染在RA发生中的触发作用似乎是可能的。新冠肺炎后关节炎的出现可能会给关节损伤的鉴别诊断带来问题。
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Rheumatoid Arthritis and Post-Covid Syndrome
As the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) pandemic enters its third year, physicians are increasingly confronted with a new pathology, Post-COVID Syndrome (PCS). One of the common manifestations of PCS is a musculoskeletal symptom complex, manifested by myalgia, arthralgia, and arthritis. Today, there is no universally accepted term, definition, classification, diagnostic criteria, or consensus on the duration of PCS. In the literature there are enough descriptions of cases of the occurrence of rheumatoid arthritis (RA) after SARS-CoV-2. The question arises: is this a coincidence or could COVID-19 (coronavirus disease 2019) be a trigger factor for RA? From the perspective already expressed in medical circles, COVID-19 can unmask previously undiagnosed RA or cause disease de novo. In addition, the onset of arthritis can be a manifestation of PCS and can be transient. The trigger role of a SARS-CoV-2 infection in the occurrence of RA seems likely. The emergence of arthritis in the post-COVID period may pose problems in the differential diagnosis of joint damage.
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