Coronavirus infections, known as COVID-19, can induce a fatal respiratory system infection and also affect other organs, such as the kidney and heart The mortality rate has been estimated between 1 and 5% in previous reports;however, the mortality and morbidity can be higher in patients with the immune-deficiency condition Rheumatoid arthritis (RA) is one of the most rheumatoid disorders, and it is important to report their clinical and paraclinical data when affected with COVID-19 Evidence about their laboratory and radiologic findings is limited In this case series, 10 cases of chronic and approved rheumatoid arthritis (RA) affected by COVID-19 are presented Only 40% had dry cough, but myalgia and weakness as the general first presentation of infections was reported in most cases (80%) Gastrointestinal symptoms, including nausea/vomiting, diarrhea, anorexia, and abdominal pain, were reported in 50% of individuals In blood cell count, 30% of cases had thrombocytopenia, and ESR in all cases was positive Abnormal CRP and elevated LDH were seen in 90% of cases In HRCT assessment, all cases had an abnormal parenchymal pattern, and 90% of cases presented the usual pattern of COVID-19 (bilateral multifocal GGO/consolidation) Although it is a limited report, these findings are helpful for comparison of clinical and paraclinical cases in RA cases with normal cases
COVID-19 in rheumatoid arthritis cases: an Iranian referral center experience