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Erythematous Papular Rash: A Dermatological Feature of COVID-19
Catarina Sousa Gonçalves1, Nuno Reis Carreira1, Dúlio Passos1
1Serviço de Medicina 2, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
European Journal of Case Reports in Internal Medicine
|July 16, 2020
Summary
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, known as COVID-19, can present with various skin manifestations. These dermatological symptoms are often under-recognized and can be the first sign of infection.
Area of Science:
- Infectious Diseases
- Dermatology
- Virology
Background:
- COVID-19, caused by SARS-CoV-2, typically presents with respiratory symptoms.
- A significant subset of patients develop severe or critical illness, including organ failure.
- Increasing reports indicate diverse dermatological manifestations associated with COVID-19.
Purpose of the Study:
- To describe the cutaneous manifestations observed in a patient with COVID-19.
- To contribute to the understanding of the wide spectrum of skin conditions linked to SARS-CoV-2 infection.
- To highlight the importance of recognizing dermatological symptoms as potential early indicators of COVID-19.
Main Methods:
- Case report detailing a specific cutaneous manifestation in a COVID-19 patient.
- Clinical observation and description of dermatological lesions.
- Literature review on known COVID-19-associated skin conditions.
Main Results:
- The study describes a specific type of skin rash observed in a COVID-19 case.
- The cutaneous presentation varied widely, including rashes like maculopapular, urticarial, and petechial lesions.
- Other reported manifestations include pseudo-perniosis, livedo reticularis, and pityriasis rosea-like lesions.
Conclusions:
- SARS-CoV-2 infection manifests with a broad range of symptoms, including under-recognized dermatological findings.
- Clinicians must consider COVID-19 in patients presenting solely with cutaneous symptoms, as these can be the initial clinical presentation.
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