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Cutaneous Vasculitis in a Patient With COVID-19
Katrin Kösters1, Sitha Schwarzer1, Achim Labuhn2
1Department of Internal Medicine II, Helios Klinikum Krefeld, Krefeld, Germany.
Open Forum Infectious Diseases
|November 2, 2020
Summary
A patient with coronavirus disease 2019 developed a severe skin condition. This involved a bullous hemorrhagic rash progressing to necrotic lesions, confirmed as cutaneous vasculitis.
Area of Science:
- Dermatology
- Infectious Diseases
- Pathology
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic with diverse clinical manifestations.
- Cutaneous manifestations of COVID-19 are increasingly reported, ranging from common rashes to rare, severe presentations.
Purpose of the Study:
- To report a unique case of severe cutaneous vasculitis in a patient with COVID-19.
- To highlight the histopathological findings confirming small- and medium-sized vessel vasculitis.
Main Methods:
- Case report of a 43-year-old patient diagnosed with COVID-19.
- Clinical description of a bullous hemorrhagic rash progressing to necrotic lesions.
- Histopathological examination of skin biopsy specimens.
Main Results:
- The patient presented with a severe bullous hemorrhagic rash.
- The rash evolved into necrotic skin lesions.
- Histopathology revealed vasculitis affecting small and medium-sized cutaneous blood vessels.
Conclusions:
- COVID-19 can present with severe and potentially necrotic cutaneous vascular disease.
- Cutaneous vasculitis is a possible complication of coronavirus disease 2019.
- Prompt diagnosis and management of such dermatological manifestations are crucial.
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