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## Prednisolone COVID-19 infection : case report A 47-year-old woman developed COVID-19 infection during treatment with prednisolone for rheumatoid arthritis (RA) [route and duration of treatment to reactions onsets not stated]. The woman presented to the emergency department following pain, swelling and sudden coldness in the left hand and right foot. Her symptoms started the evening of the attending day with numbness in the left-hand fingers. Following the exacerbation of numbness, coldness and swelling in the left hand, she was transferred to the hospital. During transfer, she had similar symptoms in the right foot. Vital sign showed BP 90/60 mm Hg, sinus tachycardia 100 bpm, RR 20 beats/min, body temperature 36.8°C and an oxygen saturation level 98%. She had a history of RA, type 2 diabetes mellitus (DM) and dyslipidaemia. She had been receiving prednisolone 5mg, every 12h for RA. She was treated with glibenclamide and metformin for type 2 DM. Physical examination revealed cold left upper extremity, cyanotic and non-fixed mottling with slow capillary refill, paresthesia and a muscle force of 0 out of 4, brachial, ulnar and radial pulses were impalpable. Musculoskeletal examinat

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN