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Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is the etiologic agent of coronavirus disease 2019 (COVID-19), causes an excessive inflammatory response and hemostatic abnormalities in the lungs, kidney, and skin. Four patients with COVID-19 admitted to an acute care community ho...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8993186/ https://www.ncbi.nlm.nih.gov/pubmed/35415049 http://dx.doi.org/10.7759/cureus.23003 |
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author | De Carvalho, Magali Rezende Thomas, Elmira Shields-Johnson, Barbara Da Silva, Ivan |
author_facet | De Carvalho, Magali Rezende Thomas, Elmira Shields-Johnson, Barbara Da Silva, Ivan |
author_sort | De Carvalho, Magali Rezende |
collection | PubMed |
description | Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is the etiologic agent of coronavirus disease 2019 (COVID-19), causes an excessive inflammatory response and hemostatic abnormalities in the lungs, kidney, and skin. Four patients with COVID-19 admitted to an acute care community hospital developed nonblanchable purpuric macules, patches, and retiform purpura-like lesions at the sacrum, buttocks, lower extremities, and upper back. These lesions can be misdiagnosed as deep tissue pressure injuries. One patient also developed a vesicular-like rash at the upper back and another one developed pernio (chilblains)-like lesions to the third toe of the left foot. Previous studies suggest that the vascular hyperinflammation status and microthrombosis may be responsible for the cutaneous manifestations in patients with SARS-CoV-2. These cutaneous manifestations observed in patients with SARS-CoV-2 may be related to progression of the disease. |
format | Online Article Text |
id | pubmed-8993186 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-89931862022-04-11 Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting De Carvalho, Magali Rezende Thomas, Elmira Shields-Johnson, Barbara Da Silva, Ivan Cureus Dermatology Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is the etiologic agent of coronavirus disease 2019 (COVID-19), causes an excessive inflammatory response and hemostatic abnormalities in the lungs, kidney, and skin. Four patients with COVID-19 admitted to an acute care community hospital developed nonblanchable purpuric macules, patches, and retiform purpura-like lesions at the sacrum, buttocks, lower extremities, and upper back. These lesions can be misdiagnosed as deep tissue pressure injuries. One patient also developed a vesicular-like rash at the upper back and another one developed pernio (chilblains)-like lesions to the third toe of the left foot. Previous studies suggest that the vascular hyperinflammation status and microthrombosis may be responsible for the cutaneous manifestations in patients with SARS-CoV-2. These cutaneous manifestations observed in patients with SARS-CoV-2 may be related to progression of the disease. Cureus 2022-03-09 /pmc/articles/PMC8993186/ /pubmed/35415049 http://dx.doi.org/10.7759/cureus.23003 Text en Copyright © 2022, De Carvalho et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Dermatology De Carvalho, Magali Rezende Thomas, Elmira Shields-Johnson, Barbara Da Silva, Ivan Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title | Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title_full | Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title_fullStr | Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title_full_unstemmed | Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title_short | Retrospective View of Four Cases of Cutaneous Manifestations in COVID-19 Patients in an Acute Care Setting |
title_sort | retrospective view of four cases of cutaneous manifestations in covid-19 patients in an acute care setting |
topic | Dermatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8993186/ https://www.ncbi.nlm.nih.gov/pubmed/35415049 http://dx.doi.org/10.7759/cureus.23003 |
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