Cutaneous Manifestations in Four Patients with COVID-19.

Authors :: Gorgulho A
Andrade MM
Antunes AP
Nabais I
Taborda F
Dias Ramos M
Grilo AM
Source :: European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2020 Nov 05; Vol. 7 (12), pp. 002029. Date of Electronic Publication: 2020 Nov 05 (Print Publication: 2020).
Publication Year :: 2020
Abstract: As the numbers of SARS-CoV-2 infections increased globally, reports of cutaneous manifestations started to emerge. We describe several patients with COVID-19 who presented with skin changes. We noted such manifestations in four out of 110 patients (3.63%) and describe the clinical situation of each of these patients. Each patient had either a maculopapular or a urticariform rash. These manifestations have a broad differential diagnosis and it was difficult to exclude drug reactions. We hope to raise awareness of this possible manifestation of COVID-19 in order to raise suspicion of this diagnosis among clinicians when they encounter patients with fever and rash. Larger series that also include patients with mild disease and skin biopsies may be useful.<br />Learning Points: Cutaneous manifestations can occur as part of COVID-19, so clinicians should be suspicious of this diagnosis in patients with fever and rash.The differential diagnosis is large and drug reactions are difficult to rule out.<br />Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests.<br /> (© EFIM 2020.)