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Review

Post-COVID-19 Arthritis and Sacroiliitis: Natural History with Longitudinal Magnetic Resonance Imaging Study in Two Cases and Review of the Literature

1
Clinic of Rheumatology, Azienda Sanitaria Universitaria del Friuli Centrale, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy
2
Department of Medicine (DAME), University of Udine, Via Colugna 50, 33100 Udine, Italy
3
Institute of Radiology, Azienda Sanitaria Universitaria del Friuli Centrale, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy
4
Rheumatology Clinic, Department of Medicine (DAME), University of Udine, ASUFC, Via Colugna 50, 33100 Udine, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Luis Martinez-Sobrido
Received: 12 June 2021 / Revised: 1 August 2021 / Accepted: 4 August 2021 / Published: 6 August 2021
(This article belongs to the Special Issue COVID-19—Advances in Clinical and Epidemiological Aspects)
Severe acute respiratory coronavirus-2 syndrome (SARS-CoV-2) is a well-known pandemic infectious disease caused by an RNA virus belonging to the coronaviridae family. The most important involvement during the acute phase of infection concerns the respiratory tract and may be fatal. However, COVID-19 may become a systemic disease with a wide spectrum of manifestations. Herein, we report the natural history of sacroiliac inflammatory involvement in two females who developed COVID-19 infection with mild flu-like symptoms. After the infection they reported inflammatory back pain, with magnetic resonance imaging (MRI) studies showing typical aspects of sacroiliitis. Symptoms improved with NSAIDs therapy over the following months while MRI remained positive. A literature review was performed on this emerging topic. To our knowledge, this is the first MRI longitudinal study of post-COVID-19 sacroiliitis with almost one year of follow-up. Predisposing factors for the development of articular involvement are unclear but a long-lasting persistence of the virus, demonstrated by nasopharyngeal swab, may enhance the probability of altering the immune system in a favourable background. View Full-Text
Keywords: sacroiliitis; arthritis; COVID-19; post-COVID-19 manifestations sacroiliitis; arthritis; COVID-19; post-COVID-19 manifestations
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MDPI and ACS Style

Colatutto, D.; Sonaglia, A.; Zabotti, A.; Cereser, L.; Girometti, R.; Quartuccio, L. Post-COVID-19 Arthritis and Sacroiliitis: Natural History with Longitudinal Magnetic Resonance Imaging Study in Two Cases and Review of the Literature. Viruses 2021, 13, 1558. https://0-doi-org.brum.beds.ac.uk/10.3390/v13081558

AMA Style

Colatutto D, Sonaglia A, Zabotti A, Cereser L, Girometti R, Quartuccio L. Post-COVID-19 Arthritis and Sacroiliitis: Natural History with Longitudinal Magnetic Resonance Imaging Study in Two Cases and Review of the Literature. Viruses. 2021; 13(8):1558. https://0-doi-org.brum.beds.ac.uk/10.3390/v13081558

Chicago/Turabian Style

Colatutto, Donatella, Arianna Sonaglia, Alen Zabotti, Lorenzo Cereser, Rossano Girometti, and Luca Quartuccio. 2021. "Post-COVID-19 Arthritis and Sacroiliitis: Natural History with Longitudinal Magnetic Resonance Imaging Study in Two Cases and Review of the Literature" Viruses 13, no. 8: 1558. https://0-doi-org.brum.beds.ac.uk/10.3390/v13081558

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