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The COVID rash that puts the 'U' in GROUCH!
Landon Hope1, Brianna Hope1, Jeannie Nguyen2
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proceedings (Baylor University. Medical Center)
|August 30, 2021
Summary
A new COVID-19 presentation involves urticarial vasculitis, a skin rash. This case highlights a woman whose initial symptom was a rash, later confirmed as COVID-19 related.
Area of Science:
- Dermatology
- Infectious Diseases
- Internal Medicine
Background:
- COVID-19 presents with diverse clinical manifestations.
- Awareness of less common symptoms is crucial for timely diagnosis.
- Urticarial vasculitis is a rare dermatological condition.
Observation:
- A 44-year-old woman presented with a new-onset rash on her lower back and inner thighs.
- Punch biopsy indicated severe urticaria or early urticarial vasculitis.
- The patient's symptoms resolved with oral steroids and antihistamines.
Findings:
- The patient tested positive for SARS-CoV-2 two days post-biopsy.
- The urticarial vasculitic reaction was determined to be secondary to COVID-19 infection.
- The skin manifestation was the initial presentation of the disease.
Implications:
- This case expands the spectrum of cutaneous manifestations of COVID-19.
- Urticarial vasculitis should be considered in the differential diagnosis of new-onset rashes during the pandemic.
- Early recognition of atypical COVID-19 symptoms can improve patient outcomes.
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