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Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines
BACKGROUND: Reports on COVID-19 skin manifestations and associated clinical outcomes are limited. Like viral diseases, cutaneous findings may be present and can help in confirmation and prognostication among those suspected or diagnosed with COVID-19. OBJECTIVE: To determine COVID-19 cutaneous manif...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808712/ https://www.ncbi.nlm.nih.gov/pubmed/35128486 http://dx.doi.org/10.1016/j.jdin.2022.01.007 |
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author | Tan, Cyrene C. Dofitas, Belen L. Frez, Ma. Lorna F. Yap, Celina Daia D. Uy, Jeanie Karen K. Ciriaco-Tan, Cynthia P. |
author_facet | Tan, Cyrene C. Dofitas, Belen L. Frez, Ma. Lorna F. Yap, Celina Daia D. Uy, Jeanie Karen K. Ciriaco-Tan, Cynthia P. |
author_sort | Tan, Cyrene C. |
collection | PubMed |
description | BACKGROUND: Reports on COVID-19 skin manifestations and associated clinical outcomes are limited. Like viral diseases, cutaneous findings may be present and can help in confirmation and prognostication among those suspected or diagnosed with COVID-19. OBJECTIVE: To determine COVID-19 cutaneous manifestations and their association with disease severity and course. METHODS: This study was conducted in a designated COVID-19 referral hospital from January 1 to March 31, 2021. Skin manifestations recorded from January 1 to February 17 were retrospectively gathered. Reports from February 18 to March 31 were prospectively collected using a dermatologic checklist which was incorporated into all official medical records. RESULTS: A total of 507 confirmed patients with COVID-19 were included. COVID-19 skin signs were detected in 39 patients (7.7%). Morbilliform lesions were most common. Skin signs were significantly associated with severe or critical cases (odds ratio, 3.4; 95% CI, 1.3-8.7) and mortality (relative risk, 2.9; 95% CI, 2.0-4.2). LIMITATIONS: Underestimation of prevalence of COVID-19 skin signs due to exclusion of outpatient and discharged patients and the subjective assessment in the retrospective part. CONCLUSION: Cutaneous signs were significantly associated with severe/critical COVID-19 as well as death among 507 hospitalized patients in a Philippine COVID-19 referral hospital. |
format | Online Article Text |
id | pubmed-8808712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88087122022-02-02 Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines Tan, Cyrene C. Dofitas, Belen L. Frez, Ma. Lorna F. Yap, Celina Daia D. Uy, Jeanie Karen K. Ciriaco-Tan, Cynthia P. JAAD Int Original Article BACKGROUND: Reports on COVID-19 skin manifestations and associated clinical outcomes are limited. Like viral diseases, cutaneous findings may be present and can help in confirmation and prognostication among those suspected or diagnosed with COVID-19. OBJECTIVE: To determine COVID-19 cutaneous manifestations and their association with disease severity and course. METHODS: This study was conducted in a designated COVID-19 referral hospital from January 1 to March 31, 2021. Skin manifestations recorded from January 1 to February 17 were retrospectively gathered. Reports from February 18 to March 31 were prospectively collected using a dermatologic checklist which was incorporated into all official medical records. RESULTS: A total of 507 confirmed patients with COVID-19 were included. COVID-19 skin signs were detected in 39 patients (7.7%). Morbilliform lesions were most common. Skin signs were significantly associated with severe or critical cases (odds ratio, 3.4; 95% CI, 1.3-8.7) and mortality (relative risk, 2.9; 95% CI, 2.0-4.2). LIMITATIONS: Underestimation of prevalence of COVID-19 skin signs due to exclusion of outpatient and discharged patients and the subjective assessment in the retrospective part. CONCLUSION: Cutaneous signs were significantly associated with severe/critical COVID-19 as well as death among 507 hospitalized patients in a Philippine COVID-19 referral hospital. Elsevier 2022-02-02 /pmc/articles/PMC8808712/ /pubmed/35128486 http://dx.doi.org/10.1016/j.jdin.2022.01.007 Text en © 2022 by the American Academy of Dermatology, Inc. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Tan, Cyrene C. Dofitas, Belen L. Frez, Ma. Lorna F. Yap, Celina Daia D. Uy, Jeanie Karen K. Ciriaco-Tan, Cynthia P. Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title | Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title_full | Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title_fullStr | Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title_full_unstemmed | Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title_short | Cutaneous manifestations of COVID-19 in a tertiary COVID-19 referral hospital in the Philippines |
title_sort | cutaneous manifestations of covid-19 in a tertiary covid-19 referral hospital in the philippines |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808712/ https://www.ncbi.nlm.nih.gov/pubmed/35128486 http://dx.doi.org/10.1016/j.jdin.2022.01.007 |
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