The rise and evolution of COVID-19

Mohsen Baghchechi1, Navin Jaipaul2,3,4, Sharon E Jacob3,4,5

  • 1University of California, School of Medicine, Riverside, CA, USA.

Insights

Skin manifestations like rashes and "COVID toes" can appear in children and adolescents with COVID-19, sometimes before respiratory symptoms. Dermatologists can help identify the disease through these cutaneous findings.

Area of Science:

  • Virology
  • Dermatology
  • Epidemiology

Background:

  • Coronaviridae (CoV) are zoonotic viruses causing illnesses from common colds to severe epidemics.
  • A novel coronavirus caused the 2019 COVID-19 pandemic, necessitating rapid containment and early detection strategies.
  • Understanding disease hallmarks is crucial for management and triage during the COVID-19 outbreak.

Purpose of the Study:

  • To investigate the association between COVID-19 and cutaneous findings.
  • To highlight the potential role of dermatologists in identifying COVID-19 through skin manifestations.
  • To document the timing and presentation of skin conditions in relation to COVID-19 illness.

Main Methods:

  • Review of clinical presentations and case reports of COVID-19 patients.
  • Analysis of documented cutaneous findings in individuals with confirmed COVID-19.
  • Correlation of skin symptom onset with respiratory symptom onset and recovery phases.

Main Results:

  • Common cutaneous findings include maculopapular rashes, livedo reticularis, and acro-ischemic lesions ('COVID toes').
  • These skin manifestations were observed in pediatric and adolescent populations, predominantly.
  • Skin findings appeared at various times, from preceding respiratory symptoms to weeks post-recovery.

Conclusions:

  • Cutaneous presentations are significant indicators of COVID-19, particularly in younger populations.
  • Dermatological assessment can aid in the early detection and diagnosis of COVID-19.
  • The role of dermatologists is expanded in managing and identifying COVID-19 through its dermatological manifestations.

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