L.I. BADRUTDINOVA¹, YU.V. POLYANSKIH¹, S.A. LAPSHINA¹, R.Z. ABDRAKIPOV², E.S. ZAMANOVA²

 ¹Kazan State Medical University, Kazan

²Republic Clinical Hospital, Kazan

  Contact details:

Badrutdinova L.I. — resident doctor of the Department of Hospital Therapy

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-912-876-50-92, e-mail: bli1995@yandex.ru

 The article presents the results of a clinical observation of a case of the onset of axial spondyloarthritis in an elderly woman which developed against the background of the new coronavirus infection. The difficulties of the diagnostic search and, as a consequence, the selection of adequate therapy in combination with the patient’s post-COVID period and the onset of immuno-inflammatory disease are described. The characteristics of the clinical course and functional features of the patient are given. The issues of differential diagnosis between immuno-inflammatory disease, infectious and paraneoplastic processes are considered. Colonoscopy gave new data on the presence of Crohn’s disease in the patient and allowed excluding the oncological process, serving as a reason for further diagnostic search for spondyloarthritis. The revealed laboratory and instrumental changes made it possible to diagnose axial spondyloarthritis in this patient.

Key words: axial spondyloarthritis, onset of immune inflammatory disease, post-COVID syndrome, senior age.

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