Cutaneous manifestations of COVID‐19: A case report and a new finding from Egypt

Abstract

Due to its rapidly spreading nature, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been announced as a pandemic by the World Health Organization in March 2020. 1 Although it is mainly a respiratory condition, it has other manifestations including anosmia and ageusia. 2 Skin manifestations are among the rare conditions associated with the COVID-19, these may include chilblain-like lesions, vascular lesions, varicella-like eruptions, and rash. 3 Here, we present a case of COVID-19 with multiple skin lesions associated with exacerbation of previous skin condition.

The JANUS of chronic inflammatory and autoimmune diseases onset during COVID-19 – A systematic review of the literature

“… N.A. [ 360 ] Petechial and urticarial lesions F 33 Methylprednisolone, antibiotics, anticoagulation therapy [ 361 ] Purpuric rash and maculopapular eruption F 42 N.A. [ 362 ] Maculopapular lesions F 57 None [ 363 ] Chilblain-like lesions 8 M, 8 F 10 N.A.…”

Comment on “Cutaneous manifestations of COVID‐19: A case report and a new finding from Egypt”

“…Unlike the report by Farouk and Sadek, 1 no enanthem was noted in any patient with urticarial or maculopapular rashes. 4 Regarding the wart-like lesions reported by Farouk and Sadek in their patient as a presumed new clinical cutaneous signs of COVID-19, the authors conveyed it to reactivation of a dormant human papilloma virus (HPV)infection 1. We agree with that as reactivation of endogenous and dormant viruses by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection could somewhat explain the polymorphic eruption associated with COVID-19 in a single viral host 5.…”

“…We read with interest the case report by Farouk and Sadek publi-shed recently in Dermatologic Therapy. 1 The authors reported an Egyptian health care professional with coronavirus disease 2019 (COVID-19), presented with a progressive pruritic, polymorphic eruption: erythematous, morbilliform, and urticarial. Later, the patient developed "petechial" enanthem of the oral cavity and wart-like lesions of the lower extremities.…”

“…With hospitalization to control her progressive systemic signs, the polymorphic eruption and wart-like lesions had subsequently regressed with systemic signs improvement. 1 Cutaneous signs or rashes in association with COVID-19 pandemic are polymorphic and mostly include erythema, chilblain-like and urticarial lesions, with varied incidence rate between nations. Petechial and purpuric changes have also been described.…”

Cutaneous manifestation of COVID‐19 reporting from Middle‐Eastern countries: A point of view!

“…Notably, reports from Middle‐Eastern countries are scarce and limited mainly to case reports despite a higher preponderance rate of infection. Herpes zoster, cutaneous small vessel vasculitis, chilblain‐like lesions, wart‐like lesions, oral vesicles, and pityriasis rosea were among the reported signs 7‐12 . It is unclear whether cutaneous signs reported from these nations were truly few or similarities of the reports and poor documentation played a role in its lower priority for publication.…”