Prevalence of mucocutaneous manifestations in 666 patients with COVID‐19 in a field hospital in Spain: oral and palmoplantar findings

Nuño-González, Almudena; Martín-Carrillo, Pilar; Magaletsky, Kyrylo; Rios, M D Martin; Mañas, C Herranz; Almazan, J Artigas; Casasola, G. García de; Castro, Emma; Arenas, Andrea; Ibarguren, Ander Mayor; Rodríguez, Marta Feito; Masdemont, Belén Lozano; Beato, María; Bravo, Elena; Oliver, Paloma; Vega, María Dolores Montero; Pinto, Pedro Herranz

doi:10.1111/bjd.19564

Cited by 75 publications

(101 citation statements)

References 8 publications

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“…Given that the studies were published between April and November 2020, the results were listed in the table in alphabetical order of the first author's surname. Excluding the only study in which the gender and age of the participants were not reported ( 58 ), 33 cases were female and 24 cases were male. The mean age of reported cases was 42.92 ± 18.05.…”

Section: Resultsmentioning

confidence: 99%

“…The most frequent findings were ulcerations ( 9 , 50 , 60 – 62 ), sometimes associated with necrotic areas ( 50 , 51 ), aphthous-like lesions ( 51 , 55 , 56 , 58 ), and petechiae ( 51 , 52 , 54 ). Maculae ( 53 , 60 ), blisters ( 10 , 57 ), lingual papillitis or depapillation ( 58 ), and erythema or red plaques ( 52 , 63 ) were also among the described oral lesions. Besides, a case of dark brown hyperpigmentation was documented by Corchuelo and Ulloa ( 63 ).…”

Section: Resultsmentioning

confidence: 99%

“…Tongue ( 9 , 51 , 54 , 55 , 58 – 62 ), lips ( 10 , 50 , 51 , 57 , 59 , 60 , 63 ) and palate ( 52 , 54 , 60 ) were the most frequently described anatomical locations.…”

Section: Resultsmentioning

confidence: 99%

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Association of Viral Infections With Oral Cavity Lesions: Role of SARS-CoV-2 Infection

et al. 2021

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Different viral agents, such as herpesviruses, human papillomavirus, and Coxsackie virus, are responsible for primary oral lesions, while other viruses, such as human immunodeficiency virus, affect the oral cavity due to immune system weakness. Interestingly, it has been reported that coronavirus disease 2019 (COVID-19) patients can show cutaneous manifestations, including the oral cavity. However, the association between oral injuries and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is still unclear. This narrative review aimed to summarize the available literature and provide an overview of oral lesions associated with COVID-19. An online literature search was conducted to select relevant studies published up to November 2020. The results of 17 studies showed variability in oral lesions associated with COVID-19, including ulcerations, aphthous-like lesions, and macules. The tongue, lips, and palate were the most frequent anatomical locations. According to current knowledge, the etiopathogenesis of multiple COVID-19-associated lesions seems to be multifactorial. The appearance of such lesions could be related to the direct or indirect action of SARS-CoV-2 over the oral mucosa cells, coinfections, immunity impairment, and adverse drug reactions. Nevertheless, COVID-19-associated oral lesions may be underreported, mainly due to lockdown periods and the lack of mandatory dispositive protection. Consequently, further research is necessary to determine the diagnostic and pathological significance of oral manifestations of COVID-19. All medical doctors, dentists, and dermatologists are encouraged to perform an accurate and thorough oral examination of all suspected and confirmed COVID-19 cases to recognize the disease's possible early manifestations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Association of Viral Infections With Oral Cavity Lesions: Role of SARS-CoV-2 Infection

et al. 2021

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“…165 Data derived from a UK COVID Symptoms Study app suggest that those with cutaneous rash are more likely to test positive for SARS-CoV-2 (odds ratio 1.67). 166 Although less prevalent than fever, the authors also found rash to be more specific for COVID-19 infection, which lends support to the diagnostic value of cutaneous manifestations of SARS-CoV-2 infection. 166 …”

Section: Discussionmentioning

confidence: 59%

Clinical Patterns and Morphology of COVID-19 Dermatology

Agnihothri

Fox

2021

Dermatologic Clinics

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Synopsis Coronavirus disease 2019 (COVID-19), an emergent disease caused by severe acute respiratory syndrome cornonavirus 2 (SARS-CoV-2), has rapidly spread throughout the globe since its discovery in December 2019. Although first appreciated to cause pneumonia, numerous organ systems are now known to be involved. The objective of this article is to review the broad spectrum of cutaneous manifestations reported in association with SARS-CoV-2 infection. The most commonly reported cutaneous manifestations associated with COVID-19 infection include pernio (chilblain)-like acral lesions, morbilliform (exanthematous) rash, urticaria, vesicular (varicella-like) eruptions, and vaso-occlusive lesions (livedo racemosa, retiform purpura). It is important to consider SARS-CoV-2 infection in the differential diagnosis of a patient presenting with these lesions in the appropriate clinical context, as cutaneous manifestations may be present in otherwise asymptomatic individuals, or present prior to developing other symptoms of infection. With increased access to diagnostic testing, we are beginning to understand the utility and limitations of currently available assays.

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“…Some authors have described oral manifestations close to those associated with other oral viral infections such as oral pain (burning), desquamative gingivitis, irregular ulcers and blisters, aphthous stomatitis, glossitis, mucositis, patchy tongue, recurrent herpetic stomatitis, lip semi mucosa or vesiculobullous lesions [ 300 , 301 , 302 , 303 ]. Increased stress and tiredness during COVID-19 course have been associated with an increased risk of developing other oral viruses like Herpes simplex virus or Varicella-zoster virus [ 304 ].…”

Section: Clinical Presentation Of Covid-19 and Risk Factorsmentioning

confidence: 99%

COVID-19 and Dentistry in 72 Questions: An Overview of the Literature

Derruau

Bouchet

Nassif

et al. 2021

JCM

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The outbreak of Coronavirus Disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), has significantly affected the dental care sector. Dental professionals are at high risk of being infected, and therefore transmitting SARS-CoV-2, due to the nature of their profession, with close proximity to the patient’s oropharyngeal and nasal regions and the use of aerosol-generating procedures. The aim of this article is to provide an update on different issues regarding SARS-CoV-2 and COVID-19 that may be relevant for dentists. Members of the French National College of Oral Biology Lecturers (“Collège National des EnseignantS en Biologie Orale”; CNESBO-COVID19 Task Force) answered seventy-two questions related to various topics, including epidemiology, virology, immunology, diagnosis and testing, SARS-CoV-2 transmission and oral cavity, COVID-19 clinical presentation, current treatment options, vaccine strategies, as well as infection prevention and control in dental practice. The questions were selected based on their relevance for dental practitioners. Authors independently extracted and gathered scientific data related to COVID-19, SARS-CoV-2 and the specific topics using scientific databases. With this review, the dental practitioners will have a general overview of the COVID-19 pandemic and its impact on their practice.

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Prevalence of mucocutaneous manifestations in 666 patients with COVID‐19 in a field hospital in Spain: oral and palmoplantar findings

Abstract: Coronavirus disease 2019 (Covid‐2019) has been associated with several cutaneous manifestations(1–3). A temporary field hospital was implemented during the pandemic peak in Madrid, Spain, to attend COVID‐19 patients with mild to moderate pneumonia.

Cited by 75 publications

References 8 publications

Association of Viral Infections With Oral Cavity Lesions: Role of SARS-CoV-2 Infection

Association of Viral Infections With Oral Cavity Lesions: Role of SARS-CoV-2 Infection

Clinical Patterns and Morphology of COVID-19 Dermatology

COVID-19 and Dentistry in 72 Questions: An Overview of the Literature

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