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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...

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Autores principales: De Carvalho, Magali Rezende, Thomas, Elmira, Shields-Johnson, Barbara, Da Silva, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
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.
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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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