COVID-associated arthritis after severe and non-severe COVID-19 : A systematic review

© 2023 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd..

AIM: Since the coronavirus outbreak became a global health emergency in 2020, various immune-based effects, such as inflammatory arthritis (IA), have been recorded. This study aimed to determine the role of COVID-19 severity on post-COVID arthritis.

METHODS: We systematically reviewed 95 patients who developed arthritis after severe and non-severe COVID-19 infection by searching the databases, including PubMed, SCOPUS, and EMBASE. We used the term "COVID-associated arthritis" because there was no definite diagnostic method for classifying arthritides after COVID-19 infection, and the diagnosed arthritis types were based on the authors' viewpoints.

RESULTS: After evaluating the data between the two severe and non-severe COVID-19-infected groups of patients, the results showed that the COVID-19 severity may affect the pattern of joint involvement in IA. In both groups, combination therapy, including oral nonsteroidal anti-inflammatory drugs with different types of corticosteroids, was the most common treatment. In addition, the mean age and comorbidities rate was higher in the severe COVID-19 group. Even though the patients in the severe COVID-19 group developed more serious COVID-19 symptoms, they experienced milder arthritis with better outcomes and more delayed onsets that required less aggressive therapy.

CONCLUSION: We conclude that there may be an inverse relationship between COVID-19 severity and arthritis severity, possibly due to weaker immunity conditions following immunosuppressant treatments in patients with severe COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Immunity, inflammation and disease - 11(2023), 10 vom: 31. Okt., Seite e1035

Sprache:

Englisch

Beteiligte Personen:

Zarpoosh, Mahsa [VerfasserIn]
Amirian, Parsa [VerfasserIn]

Links:

Volltext

Themen:

COVID-19 severity
COVID-associated arthritis
Immunosuppressive Agents
Inflammatory arthritis
Journal Article
Reactive arthritis
Review
Systematic Review

Anmerkungen:

Date Completed 01.11.2023

Date Revised 01.11.2023

published: Print

Citation Status MEDLINE

doi:

10.1002/iid3.1035

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363966676