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Coronavirus Disease 2019 (COVID-19) and Ecchymosis: A Case Report

Jing Hong Fong1,2, Sabrina Mei Ann Koay2, Edwin Hsiang Win Foo3

  • 1Department of Emergency Medicine, North West Regional Hospital, Burnie, AUS.

Cureus
|April 25, 2022
PubMed

Insights

A rare case of ecchymosis, a type of skin bruising, associated with coronavirus disease 2019 (COVID-19) is reported in Malaysia. This finding contributes to understanding COVID-19

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Pathophysiology

Background:

  • Cutaneous manifestations are increasingly recognized as extrapulmonary symptoms of COVID-19.
  • COVID-19 rashes are typically livedo and purpuric, with six recognized patterns.
  • Understanding these skin lesions aids in diagnosing COVID-19 complications.

Observation:

  • This report details the first case of ecchymosis linked to COVID-19 in Malaysia.
  • The patient had no preceding history of coagulopathy.
  • This highlights a rare clinical association of COVID-19.

Findings:

  • Ecchymosis, a purpuric rash, is a potential cutaneous manifestation of COVID-19.
  • The absence of prior coagulopathy in the patient suggests a direct link to the viral infection.
  • This case expands the spectrum of known COVID-19-related skin findings.

Implications:

  • This rare association may have pathophysiological significance in COVID-19.
  • It contributes valuable data to the understanding of COVID-19's cutaneous manifestations.
  • Further research into these lesions could improve early diagnosis and management of COVID-19 complications.

Keywords:
covid 19covid and skincutaneous manifestationecchymosisnon allergic rashpericarditisrashvasculopathy

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