REACTIVE POLYARTHRITIS IN A CHILD AFTER SUFFERING A CORONAVIRUS INFECTION COVID-19 (CLINICAL CASE)

Abstract

The article describes a clinical case of reactive polyarthritis after a coronavirus infection COVID-19, in the treatment of which a glucocorticosteroid was successfully used. Child M., 12 years old, was hospitalized in the cardiology department of the Regional children’s clinical hospital named after N. N. Silishcheva, Astrakhan, with complaints of pain in the feet and hands. Sick for a month, the onset of the disease is associated with a new coronavirus infection. Objectively: pain, defiguration in the metacarpophalangeal joints of the 3rd fingers of the left, 1st, 2nd and 3rd fingers of the right hand. The skin above them is hyperemic, slightly pigmented. Slight periarticular infiltration in the area of the right wrist joint. The movements in it are moderately painful. The skin over it is not changed. Foci of hyperemia and pigmentation of the skin along the medial surface of the feet. Pain when moving in the joints of the metatarsus of both feet. Their skin is hot. The treatment was carried out with non-steroidal anti-inflammatory drugs, the effect was not observed, high fever persisted, severe pain in the joints. In order to enhance the anti-inflammatory effect, non-steroidal anti-inflammatory drugs were replaced by glucocorticosteroids. Against this background, persistent positive dynamics was noted: the articular syndrome was clinically stopped, laboratory parameters improved significantly, incl. and inflammatory markers. Thus, the timely prescribed treatment made it possible to localize the inflammatory process, improve both the condition of the adolescent and his quality of life.