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Dermatologic Manifestation of Acro-Ischemia Associated With COVID-19

Robert Gumbita1, Jason Z Liu1, Rohan Madhu Prasad1

  • 1Department of Internal Medicine, Michigan State University, Sparrow Hospital, Lansing, MI.

Ochsner Journal
|March 31, 2022
PubMed

Insights

A COVID-19 patient developed painful skin lesions on his toes. Guideline-based treatment with anticoagulants resolved these acro-ischemia symptoms, highlighting a treatable dermatologic manifestation of coronavirus disease 2019.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) presents with diverse dermatologic manifestations.
  • Acro-ischemia, a rare skin complication, is not well-documented in COVID-19 patients.
  • Understanding COVID-19's impact on skin is crucial for comprehensive patient care.

Observation:

  • A 73-year-old male with COVID-19 developed acute hypoxic respiratory failure.
  • The patient presented with painful, violaceous purpura on his lower extremity digits.
  • This indicated a severe manifestation of acro-ischemia.

Findings:

  • The patient received therapeutic enoxaparin and nitroglycerin ointment.
  • Upon discharge, apixaban was prescribed for continued treatment.
  • The acro-ischemic lesions showed resolution with this medical management.

Implications:

  • Dermatologic manifestations are part of COVID-19's multiorgan impact.
  • Acro-ischemia in COVID-19 can be effectively treated with standard anticoagulation therapy.
  • This case underscores the importance of recognizing and managing skin symptoms in COVID-19.

Keywords:
COVID-19CoronavirusSARS-CoV-2ischemiaskin manifestations

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