Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)

The recommended drugs for the treatment of COVID-19 are, on the one hand, experimental in nature, but at the same time, they have many side effects that cause long-term complications in organs and systems, including osteoarticular. Based on the analysis of modern domestic and foreign literature, to...

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Main Authors: A. N. Tsed, N. E. Mushtin, A. K. Dulaev, A. V. Shmelev
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2022-11-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/1959
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author A. N. Tsed
N. E. Mushtin
A. K. Dulaev
A. V. Shmelev
author_facet A. N. Tsed
N. E. Mushtin
A. K. Dulaev
A. V. Shmelev
author_sort A. N. Tsed
collection DOAJ
description The recommended drugs for the treatment of COVID-19 are, on the one hand, experimental in nature, but at the same time, they have many side effects that cause long-term complications in organs and systems, including osteoarticular. Based on the analysis of modern domestic and foreign literature, to determine the effect of not only the new coronavirus infection COVID-19, but also the drugs used to treat it, on the human osteoarticular system. In the course of the study, a scientific search was made for publications in the electronic databases PubMed, MedLine and e-Library for the period from January 2000 to October 2021 for the main keywords. Due to successive “waves” of the COVID-19 pandemic, the number of patients receiving non-specific therapy, including corticosteroids, will increase in the coming years. Preliminary data on COVID-19 and similar trends during the Sars-COV-1 epidemic of 2003 show that the pathogenesis of Sars- Cov-2 and its treatment with high doses of corticosteroids may increase the risk of osteonercosis in patients, which will inevitably lead to an increase in orthopedic diseases in patients not only the middle age group, but also young patients in the near future. Currently, studies are required aimed at risk stratification, studying the pathogenesis of damage to the musculoskeletal system after COVID-19 and the effectiveness of preventive and therapeutic measures in such patients.
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spelling doaj.art-e1233fb49d0649efbd1b52200a661ae32023-03-13T08:09:20ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252022-11-011812859110.24884/0042-4625-2022-181-2-85-911399Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)A. N. Tsed0N. E. Mushtin1A. K. Dulaev2A. V. Shmelev3Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe recommended drugs for the treatment of COVID-19 are, on the one hand, experimental in nature, but at the same time, they have many side effects that cause long-term complications in organs and systems, including osteoarticular. Based on the analysis of modern domestic and foreign literature, to determine the effect of not only the new coronavirus infection COVID-19, but also the drugs used to treat it, on the human osteoarticular system. In the course of the study, a scientific search was made for publications in the electronic databases PubMed, MedLine and e-Library for the period from January 2000 to October 2021 for the main keywords. Due to successive “waves” of the COVID-19 pandemic, the number of patients receiving non-specific therapy, including corticosteroids, will increase in the coming years. Preliminary data on COVID-19 and similar trends during the Sars-COV-1 epidemic of 2003 show that the pathogenesis of Sars- Cov-2 and its treatment with high doses of corticosteroids may increase the risk of osteonercosis in patients, which will inevitably lead to an increase in orthopedic diseases in patients not only the middle age group, but also young patients in the near future. Currently, studies are required aimed at risk stratification, studying the pathogenesis of damage to the musculoskeletal system after COVID-19 and the effectiveness of preventive and therapeutic measures in such patients.https://www.vestnik-grekova.ru/jour/article/view/1959osteoarticular systemosteonecrosiscovid-19glucocorticosteroids
spellingShingle A. N. Tsed
N. E. Mushtin
A. K. Dulaev
A. V. Shmelev
Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
Вестник хирургии имени И.И. Грекова
osteoarticular system
osteonecrosis
covid-19
glucocorticosteroids
title Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
title_full Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
title_fullStr Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
title_full_unstemmed Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
title_short Pathological changes in the osteoarticular system during COVID-19 drug therapy (review of literature)
title_sort pathological changes in the osteoarticular system during covid 19 drug therapy review of literature
topic osteoarticular system
osteonecrosis
covid-19
glucocorticosteroids
url https://www.vestnik-grekova.ru/jour/article/view/1959
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AT nemushtin pathologicalchangesintheosteoarticularsystemduringcovid19drugtherapyreviewofliterature
AT akdulaev pathologicalchangesintheosteoarticularsystemduringcovid19drugtherapyreviewofliterature
AT avshmelev pathologicalchangesintheosteoarticularsystemduringcovid19drugtherapyreviewofliterature