European Journal of Case Reports in Internal Medicine (Jun 2020)

Erythematous Papular Rash: A Dermatological Feature of COVID-19

  • Catarina Sousa Gonçalves,
  • Nuno Alexandre de Sousa Reis Carreira,
  • Dúlio Teixeira Passos,
  • Ana Luísa Barbosa,
  • Ana Maria Baltazar,
  • Alexandra Wahnon,
  • Ana Mafalda Abrantes,
  • Pedro Miguel Garrido,
  • Teresa Ferreira,
  • Marisa Teixeira Silva,
  • Lourdes Alvoeiro

DOI
https://doi.org/10.12890/2020_001768

Abstract

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COVID-19 is the clinical expression of the highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral infection. Most patients have mild symptoms, but a significant proportion have severe or critical disease, which can include cardiac injury, sepsis, acute kidney failure and respiratory failure. It is also worth highlighting the increasing number of reported COVID-19 cases with dermatological disease/manifestations. The cutaneous clinical spectrum is wide and includes maculopapular, urticarial, varicelliform and petechial rashes, pseudo perniosis, livedo reticularis, and pityriasis rosea-like, violaceous and pustular lesions. Until the physiological mechanism is fully understood, it is important to describe these manifestations, which could help identify a typical pattern. This report describes a cutaneous manifestation in a COVID-19 patient.

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