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COVID-19: The experience from Italy
Sebastiano Recalcati1, Raffaele Gianotti2, Fabrizio Fantini1
1Dermatology Unit, ASST Lecco, Alessandro Manzoni Hospital, Lecco, Italy.
Clinics in Dermatology
|May 11, 2021
Summary
COVID-19 infection can cause various skin issues. This study found 15% of patients had new skin conditions, including rashes and vascular lesions, which may help identify contagious cases.
Area of Science:
- Dermatology
- Infectious Diseases
- Epidemiology
Background:
- Cutaneous manifestations are increasingly recognized as a sign of COVID-19.
- The Lombardy region experienced Italy's first major COVID-19 outbreak.
- Understanding dermatologic signs is crucial for early detection and management.
Purpose of the Study:
- To assess the prevalence and impact of dermatologic manifestations in COVID-19 patients.
- To identify distinct cutaneous clinical patterns associated with the infection.
- To explore the potential of skin findings in identifying contagious individuals.
Main Methods:
- Retrospective analysis of 345 laboratory-confirmed COVID-19 patients.
- Data collected from February 1 to May 31, 2020, in Lombardy, Italy.
- Recording of cutaneous signs and dermatologic diagnoses upon admission and during illness.
Main Results:
- 15% (52 out of 345) of patients developed new-onset dermatologic conditions.
- Seven major cutaneous patterns were observed, categorized into exanthems, vascular lesions, and others.
- Detailed analysis included prevalence, age, duration, prognosis, and histology for each pattern.
Conclusions:
- Cutaneous findings are significant indicators of COVID-19 infection.
- Skin manifestations can aid in identifying potentially contagious patients, even those with mild symptoms.
- Dermatologic surveillance may play a role in the broader COVID-19 response.
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