Pattern of joint involvement in patients with rheumatoid arthritis and a positive diagnosis of COVID-19
Keywords:
joint involvement, arthralgia, rheumatoid arthritis, coronavirus, COVID-19, myalgiaAbstract
Introduction: COVID-19 is a disease that, in addition to respiratory manifestations, generates alterations of the musculoskeletal system whose expression is similar to that of rheumatic diseases.
Objective: to describe the pattern of joint involvement in patients with rheumatoid arthritis and a positive diagnosis of COVID-19.
Methods: a basic investigation was carried out with a universe of 46 patients with rheumatoid arthritis, according to the criteria of the American College of Rheumatology, and COVID-19. The pattern of joint involvement was analyzed to identify possible elements of similarity and differences with the previous evolution of rheumatic disease.
Results: Average age of 58.72 years, with a predominance of female patients (82.61%) and with a time of evolution of the disease between 1 and 5 years (41.30%). 41.30% of the patients referred at least one associated comorbidity, where overweight (57.89%) and arterial hypertension (31.58%) were the most prevalent. 93.48% of the patients referred joint involvement at the time of COVID-19 diagnosis; the presence of arthralgias (48.84%), myalgias (30.23%) and monoarticular inflammatory conditions (25.58%) were the rheumatic affectations that were most frequently reported.
Conclusions: COVID-19 generates changes in the profile of joint involvement in patients with RA. The exact mechanism by which these alterations occur is still unknown, but it may be oriented to the synergy of immunological alterations that cause both diseases. The study of the etiopathogenic and clinical characteristics of COVID-19 should continue to minimize morbidity and mortality from this disease.
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- Solis Cartas U. Coronavirus y enfermedades reumáticas, suposiciones, mitos y realidades. Rev Cuba Reumatol [Internet]. 2020 [citado 2021 Feb 10];22(2): e791. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962020000200001&lng=es
- Solis Cartas U, Valdés González JL, Hernandez W, Martinez Larrarte JP. Manifestaciones reumáticas y dermatológicas en pacientes paucisintomáticos de COVID-19. Rev Cubana de Reumatolo [Internet]. 2020 [citado 2021 Feb 09]; 22(4):[aprox. 9 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/863
- Armas Rodríguez WE, Alarcón Medina GA, Ocampo Dávila Fernando D, Arteaga Claudia M, Arteaga Paredes PA. Artritis reumatoide, diagnóstico, evolución y tratamiento. Rev Cuba Reumatol [Internet]. 2019 Dic [citado 2021 Feb 16];21(3): e114. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000300013&lng=es
- Martínez Téllez G, Torres Rives B, Gómez JA, Prada Hernández DM., Sánchez Rodríguez V. Diagnostic effectiveness of anti-citrullinated peptides antibodies of second and third generations for rheumatoid arthritis. Rev haban cienc méd [Internet]. 2018 [citado 2021 Feb 16] ; 17( 4 ): 540-554. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2018000400540&lng=es
- Solis Cartas U, Calvopiá Bejarano SJ, Nuñez Sánchez BL, Yartú Couceiro R. Relación entre adiposidad corporal y presión arterial en niños y adolescentes con enfermedades reumáticas. Rev Cuba Reumatol [Internet]. 2019 [citado 2021 Feb 09]; 21(1): e51. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000100002&lng=es
- Prada Hernández DM, Hernández Torres C, Gómez Morejón JA, Gil Armenteros R, Reyes Pineda Y, Solís Carta U, et al. Evaluación de la calidad de vida relacionada con la salud en pacientes con artritis reumatoide en el Centro de Reumatología. Rev Cuba Reumatol [Internet]. 2015 [citado 2021 Feb 15];17(1): 48-60. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962015000100008&lng=es
- Camaño Carballo L, Pimienta Concepción I. Afectación bucal en pacientes con artritis reumatoide. Rev Cuba Reumatol [Internet]. 2020 [citado 2021 Feb 14];22(2): e783. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962020000200004&lng=es
- Garcés Salazar MC, Paredes Cuesta DM, Martínez Gualpa LR. Relación entre hipotiroidismo y artritis reumatoide. Rev Cuba Reumatol [Internet]. 2019 [citado 2021 Feb 16];21(2): e86. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000200002&lng=es
- Solis Cartas U, Ríos Guarango PA, López Proaño GF, Yartú Couceiro R, Nuñez Sánchez BL, Arias Pastor FH, et al . Uso de la medicina natural en el tratamiento de la artritis reumatoide. Rev Cuba Reumatol [Internet]. 2019 [citado 2021 Feb 13];21(3):e61. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000300004&lng=es
- Camacho Castillo KP, Del Pilar Martínez Verdezoto T, Ortiz Granja LB, Urbina Aucancela KD. Artritis reumatoide en el adulto mayor. Rev Cuba Reumatol [Internet]. 2019[citado 2021 Feb 12];21(3):e122. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962019000300007&lng=es
- Solis Cartas U, Calvopiña Bejarano SJ. Comorbilidades y calidad de vida en Osteoartritis. Rev Cuba Reumatol [Internet]. 2018 Ago [citado 2021 Feb 16] ; 20( 2 ): e17. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962018000200002&lng=es
- Ortiz R, Torres M, Peña Cordero S, Palacio Rojas M, Crespo JA, Sánchez JF, et al. Comportamiento epidemiológico de la obesidad y factores de riesgo asociados en la población rural de Cumbe, Ecuador. AVFT [Internet]. 2017 [citado 2021 Feb 15];36(3): 88-96. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0798-02642017000300006&lng=es
- Barahona-Meneses AR, Castillo-Andrade RE, Espín-Capelo M, Folleco-Guerrero JC, Criollo-Ibujes J, Hidrobo-Guzman JF. Ingesta de calcio y relación con el sobrepeso y obesidad en adolescentes mujeres, Ecuador. Rev Esp Nutr Hum Diet [Internet]. 2018 [citado 2021 Feb 13];22(1):31-41. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2174-51452018000100031&lng=es
- Estragó V, Tabárez A, Muñoz M, González G, Bulla D, Díaz J, et al. Uma abordagem ao problema do sobrepeso/obesidade e hipertensão em crianças. Arch. Pediatr. Urug. [Internet]. 2018[citado 2021 Feb 13];89(5):301-10. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492018000600301&lng=es
- Arbués-Enrique R, Martínez-Abadía B, Gracía-Tabuenca T, Yuste-Gran C, Pellicer-García B, Juárez-Vela R, et al. Prevalencia de sobrepeso/obesidad y su asociación con diabetes, hipertensión, dislipemia y síndrome metabólico: estudio transversal de una muestra de trabajadores en Aragón, España. Nutr. Hosp. [Internet]. 2019[citado 2021 Feb 13];36(1):51-9. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112019000100051&lng=es
- Solis Cartas U, Valdés González JL, Hernandez W, Martinez Larrarte JP. Manifestaciones reumáticas y dermatológicas en pacientes paucisintomáticos de COVID-19. Rev Cubana de Reumatolo [Internet]. 2020 [citado 16 Feb 2021];, 22(4):[aprox. 9 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/863
- Ciaffi J, Meliconi R, Ruscitti P, Berardicurti O, Giacomelli R, Ursini F. Rheumatic manifestations of COVID-19: a systematic review and meta-analysis. BMC Rheumatology [Internet]. 2020 [citado 2020 Sep 15]; 4 (65): 2-15. Disponible en: https://bmcrheumatol.biomedcentral.com/articles/10.1186/s41927020-00165-0
- Parisi S, Borreli R, Bianchi S, Fusano E. Viral arthritis and COVID-19. The Lancent Rheumatology [Internet]. 2020 [citado 2020 Sep 16]; 2 (11): e65-67. Disponible en: https://doi.org/10.1016/S26659913(20)30348-9
- Solis Cartas U, Martinez Larrarte JP. Therapeutic options to cytokine release syndrome in patients with COVID-19. Rev Cub Med Mil [Internet]. 2020 [citado 2021 Feb 13];49(3):e783. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572020000300022&lng=es
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