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Research article COVID-19 or systemic lupus erythematosus: Attention to similarity Abdulsamet Erden, Özlem Karakaş, Bahar Özdemir Ulusoy, Emin Gemcioğlu, Seval İzdeş, Rahmet Güner, Handan Yarkan, Fatma Erden, Ahmet Omma, Orhan Küçükşahin
Correspondence should be addressed to: Özlem Karakaş
Abstract: Background: Arthralgia, myalgia, acute interstitial pneumonia-like presentation, venous thromboembolism, cytopenia, secondary hemophagocytic lymphohistiocytosis and cytokine storm are the clinical and laboratory findings associated with Coronavirus disease (COVID-19), which may mimic rheumatic syndromes. Systemic lupus erythematosus (SLE) is a highly heterogeneous disease, and various clinical features can be seen in affected individuals. Differentiated diagnoses are quite broad in SLE. We present six patients with systemic lupus erythematosus and/ or antiphospholipid syndrome mimicking COVID-19 pneumonia. Methods: We described the demographic, clinical, radiological, and laboratory characteristics of six consecutive patients with suspected COVID-19 between 16 April and 1 June 2020—all patients presented with COVID-19 symptoms. Results: All patients had two COVID-19 polymerase chain reaction (PCR) tests, and all of them were negative. Four patients were diagnosed with systemic lupus erythematosus (SLE), one with systemic lupus erythematosus with antiphospholipid syndrome, and one with antiphospholipid syndrome. The ages of our patients were between 20 and 43. All patients had arthralgia. Four of our patients (66.6%) needed intensive care. Conclusions: Arthralgia with myalgia was observed to be a clue for a rheumatic disorder. Clinicians should be mindful of infectious and non-infectious disorders that may present similarly to COVID-19, particularly during the pandemic. Keywords: coronavirus disease, COVID-19, lupus, rheumatic syndrome, SLE
Received: 31.5.2024 |
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Erden A, Karakaş Ö, Ulusoy BÖ, Gemcioğlu E, İzdeş S, Güner R, et al. COVID-19 or systemic lupus erythematosus: Attention to similarity. Rev Romana Med Lab. 2025;33(1):59-64. DOI:10.2478/rrlm-2025-0002
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