2020
DOI: 10.1007/s11239-020-02338-7
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Ecchymosis in critical coronavirus disease 2019 (COVID-19) patient in Tangerang, Indonesia: a case report

Abstract: We have read with great interest the articles regarding cutaneous manifestations in Coronavirus Disease 2019 (COVID-19) infection. Studies showed 20.4% of COVID-19 patients developed cutaneous manifestations. COVID-19 causes vascular endothelial injury, vasculitis and prothrombotic state which might be the underlying cause of hemorrhagic cutaneous manifestations, disseminated intravascular coagulation (DIC), and multiple organ failures. To date, hemorrhagic cutaneous manifestations reported are chilblain-like … Show more

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Cited by 7 publications
(2 citation statements)
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References 14 publications
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“…11 Cutaneous manifestations of COVID-19 include urticaria, 7 reticular rash, 12 red-purple papules, 13 urticarial and varicella-like exanthema, 14,15 petechiae, 16 and even ecchymosis. 17 Moreover, according to some authors, petechiae, purpura, and acral ischemia accompanied by coagulation disorders are prognostically unfavorable symptoms and may indicate a more severe course of the disease. 18 A clinical case of large vessel vasculitis after COVID-19 has been reported recently.…”
Section: Pathophysiologymentioning
confidence: 99%
“…11 Cutaneous manifestations of COVID-19 include urticaria, 7 reticular rash, 12 red-purple papules, 13 urticarial and varicella-like exanthema, 14,15 petechiae, 16 and even ecchymosis. 17 Moreover, according to some authors, petechiae, purpura, and acral ischemia accompanied by coagulation disorders are prognostically unfavorable symptoms and may indicate a more severe course of the disease. 18 A clinical case of large vessel vasculitis after COVID-19 has been reported recently.…”
Section: Pathophysiologymentioning
confidence: 99%
“…While DIC develops in only 0.6% of survivors, there is a 71.4% development rate in those who died of a COVID-19 infection (6). Previous studies have reported that pathologies, such as cutaneous involvement, vasculitis, livedo reticularis, and multiorgan failure, may be observed with the development of DIC in a COVID-19 infection (7,8).…”
Section: Introductionmentioning
confidence: 99%