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Long COVID from rheumatology perspective - a narrative review
Hem Raj Sapkota1, Arvind Nune2
1The Royal Wolverhampton Hospital NHS Trust, Wolverhampton, WV10 0QP, UK. Hem.sapkota@nhs.net.
Long COVID, a persistent sequel of COVID-19, presents symptoms mimicking rheumatic diseases. This review aids rheumatologists in distinguishing long COVID from rheumatic conditions for accurate diagnosis.
Area of Science:
- Rheumatology
- Infectious Diseases
- Post-COVID Conditions
Background:
- Long COVID, a sequela of COVID-19, affects millions globally with diverse persistent symptoms.
- Symptoms include fatigue, breathlessness, myalgia, arthralgia, cognitive impairment, and skin rashes.
- These manifestations overlap with rheumatic diseases, creating diagnostic challenges.
Purpose of the Study:
- To raise rheumatologist awareness of long COVID manifestations.
- To highlight differentiating features between long COVID and rheumatic diseases.
- To facilitate timely and accurate diagnosis for patients with long COVID.
Main Methods:
- Comprehensive literature review.
- Analysis of clinical features, laboratory findings, and imaging in long COVID.
- Comparison with established rheumatic disease presentations.
Main Results:
- Long COVID shares symptoms like arthralgia and fatigue with rheumatic diseases.
- Specific patterns of presentation and diagnostic markers can aid differentiation.
- Early recognition prevents misdiagnosis and inappropriate treatment.
Conclusions:
- Rheumatologists must consider long COVID in differential diagnoses.
- Understanding long COVID's unique features is crucial for correct diagnosis.
- This knowledge improves patient outcomes by ensuring appropriate management.
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