Prominent rash and multisystem inflammatory syndrome in a 29-year-old patient with COVID-19: a case report

Adult patients with coronavirus disease present primarily with respiratory symptoms, but children and some adults may display a more systemic inflammatory syndrome with rash, fever, mucosal changes, and elevated inflammatory biomarkers.

Here, we report the case of a 29-year-old Hispanic patient presenting with significant rash and multisystem inflammation. We describe his clinical course, review dermatological manifestations of coronavirus disease, and summarize the pathophysiology of coronavirus disease-associated multisystem inflammation.

This case should alert physicians to the atypical nature of presenting rash with minimal respiratory symptoms in coronavirus disease.