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CASE REPORT

Severe Lower Limb Edema Complicating COVID-19 in a Rheumatoid Arthritis Patient: A Case Report

The Open Rheumatology Journal 05 May 2025 CASE REPORT DOI: 10.2174/0118743129378698250428115547

Abstract

Background

COVID-19 is primarily associated with acute respiratory symptoms but can also cause non-respiratory complications, such as lower limb edema. The mechanisms behind this remain unclear, posing diagnostic challenges for clinicians.

Case Presentation

A 73-year-old woman with rheumatoid arthritis developed severe lower limb edema following COVID-19. The edema, attributed to systemic inflammation and hypoalbuminemia, was successfully treated with corticosteroids and diuretics.

Conclusion

This case highlights the importance of a thorough differential diagnosis of lower limb edema post-COVID-19. After excluding thrombosis and lymphedema, we concluded that systemic inflammation and hypoalbuminemia were the primary contributors. Thus, early recognition and targeted treatment are crucial for managing such cases.

Keywords: (Mesh Term), COVID-19, Edema, Rheumatoid arthritis, Case report.
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