Abstract
Objectives. We want to present the evolution of a lot of patients, previously diagnosed with psoriatic arthritis, who last spring went through a difficult period due to infection with the new coronavirus. After healing from COVID-19, the patients had returned to the hospital after a period of 4-6 months, to follow a rehabilitation treatment, the majority of the accusations being those related to psoriatic arthritis, with close follow-up of these patients in connection with the treatment applied. Material and methods. The patients were evaluated at hospitalization (biological inflammatory markers like CRP and ESR), pain scale, DAPSA score, PASI and the quality of life score (DLQI and QOL scale), after which they followed different rehabilitation treatments for a period of 21 days. After 3 months of completing this treatment they were re-evaluated. Patients diagnosed with psoriatic arthritis who do not have documentation to suggest SARS-CoV-2 infection (antibodies/ previous RT-PCR positive tests) were not included in the study. Outcomes. There were some significant differences in terms of the initial score at hospitalization and that performed after rehabilitation treatment. Most of the indices performed had lower values at reassessment (pain scale score, DAPSA, PASI, DLQI and even lower values of CRP and ESR), thus resulting in an important step in terms of the beneficial effects of rehabilitation therapy, both for patients with psoriatic arthritis and for post-COVID-19 recovery. The most important change was observed in the score for quality of life. Conclusions. The inclusion of rehabilitation therapy in patients with psoriatic arthritis should be a step that each patient should take. Its effects are long-term, with periods of pain decreasing in frequency and intensity, thus changing the quality of life of these patients. The mental, social and emotional impact of COVID-19 on people who have gone through the disease can be changed in a good way, also following a rehabilitation therapy.
Highlights
For a year and a half, life around the world has been on the break due to the appearance of the new coronavirus
The mental, social and emotional impact of COVID-19 on people who have gone through the disease can be changed in a good way, following a rehabilitation therapy
The improvements observed in the different disease assessment scores, as well as the decrease of the values of the inflammatory markers represent an important step for the future in the use of the rehabilitation therapy
Summary
For a year and a half, life around the world has been on the break due to the appearance of the new coronavirus. Following this pandemic, many of the Article History: Received: 10 August 2021 Accepted: 27 September 2021. Psoriatic arthritis is chronic inflammatory arthritis associated with psoriasis and found in about 20 to 30% of such patients. It shares many clinical features with other spondylo-arthropathies and rheumatoid arthritis [1]. PsA patients have heterogeneous clinical presentations, with diverse articular and dermatological features and varied disease courses and outcomes. PsA-induced joint damaging complications led to lower articular function and higher mortality and affect patients’ ability to work and affect their social relationships [2,3,4]
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