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

Cutaneous Manifestations in Four Patients with COVID-19

  • Ana Gorgulho,
  • Maria Margarida Andrade,
  • Ana Paula Antunes,
  • Inês Nabais,
  • Filipa Taborda,
  • Marta Dias Ramos,
  • Ana Maria Grilo

DOI
https://doi.org/10.12890/2020_002029

Abstract

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As the numbers of SARS-CoV-2 infections increased globally, reports of cutaneous manifestations started to emerge. We describe several patients with COVID-19 who presented with skin changes. We noted such manifestations in four out of 110 patients (3.63%) and describe the clinical situation of each of these patients. Each patient had either a maculopapular or a urticariform rash. These manifestations have a broad differential diagnosis and it was difficult to exclude drug reactions. We hope to raise awareness of this possible manifestation of COVID-19 in order to raise suspicion of this diagnosis among clinicians when they encounter patients with fever and rash. Larger series that also include patients with mild disease and skin biopsies may be useful.

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