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A New Rash Differential: CoVID-19.
1Vanderbilt University, Nashville, Tennessee; Middle Tennessee School of Anesthesia, Madison, Tennessee; Vanderbilt University Medical Center, Nashville, Tennessee; and TeamHealth, Columbia, Tennessee.
Advanced Emergency Nursing Journal
|May 6, 2021
Summary
COVID-19 can cause various skin rashes beyond respiratory symptoms. Emergency nurse practitioners should recognize these dermatological signs for early COVID-19 diagnosis and to limit virus spread.
Area of Science:
- Dermatology
- Emergency Medicine
- Infectious Diseases
Background:
- The COVID-19 pandemic has significantly affected healthcare, particularly emergency medicine.
- While respiratory symptoms are common, non-respiratory manifestations of COVID-19 are increasingly recognized.
Observation:
- Dermatological findings associated with COVID-19 include maculopapular and urticarial rashes.
- Other reported skin changes encompass chilblain-like lesions, livedo reticularis, vesicular, and petechial rashes.
Findings:
- Emergency nurse practitioners must be aware of diverse COVID-19 presentations, including cutaneous manifestations.
- Recognizing these skin findings can aid in identifying potentially asymptomatic or mildly symptomatic infected individuals.
Implications:
- Early identification of COVID-19 through dermatological signs can lead to prompt diagnosis.
- This recognition may help mitigate the further transmission of SARS-CoV-2.
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