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HHV-6 感染在 COVID-19 大流行中的临床特征:玫瑰糠疹和川崎病。

The clinics of HHV-6 infection in COVID-19 pandemic: Pityriasis rosea and Kawasaki disease.

机构信息

Department of Dermatology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.

出版信息

Dermatol Ther. 2020 Jul;33(4):e13730. doi: 10.1111/dth.13730. Epub 2020 Jun 29.

Abstract

A new type of coronavirus family (SARS-CoV-2), which can be found in humans and animals, with many varieties and clinical symptoms, was first seen in Wuhan, China in late 2019, under the name novel Coronavirus Disease 2019 (COVID-19). In the literature, cutaneous symptoms related to the disease are generally emphasized. However, it is not yet known whether this new SARS-CoV-2 virus, which has entered our lives, plays a role in the etiopathogenesis of dermatological diseases. The patients who were admitted to the dermatology outpatient clinic between 1 April and 15 May 2019, and on 1 April and 15 May 2020 were retrospectively analyzed by searching the hospital automation system and patient files. The reason for the same months to be included in the study was to exclude seasonal effects on the diseases. After pandemic, the number of patients with Pityriasis rosea and Kawasaki disease increased significantly in patients who applied to the dermatology outpatient clinic. Our study is the first study showing Pityriasis rosea increase during the pandemic period. We think that this increase is related to HHV-6 reactivation. Herein, we wanted to draw attention to two diseases in which Human Herpes 6 (HHV-6) was accused in etiopathogenesis: Kawasaki disease and Pityriasis rosea.

摘要

一种新型冠状病毒科(SARS-CoV-2)可在人类和动物中发现,具有多种变体和临床症状,于 2019 年末在中国武汉首次以新型冠状病毒病 2019(COVID-19)命名。在文献中,通常强调与该疾病相关的皮肤症状。但是,目前尚不清楚这种新的 SARS-CoV-2 病毒已进入我们的生活,是否在皮肤病的发病机制中起作用。通过检索医院自动化系统和患者档案,对 2019 年 4 月 1 日至 5 月 15 日和 2020 年 4 月 1 日至 5 月 15 日期间就诊皮肤科门诊的患者进行回顾性分析。选择相同月份纳入研究的原因是为了排除疾病的季节性影响。大流行后,在就诊皮肤科门诊的患者中,玫瑰糠疹和川崎病的患者数量明显增加。我们的研究首次表明在大流行期间玫瑰糠疹的发病率增加。我们认为这种增加与 HHV-6 的再激活有关。在此,我们想引起人们对两种在发病机制中被指责为人疱疹病毒 6(HHV-6)的疾病的关注:川崎病和玫瑰糠疹。

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本文引用的文献

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Evaluation of dermatology consultations in the era of COVID-19.评估 COVID-19 时代的皮肤科会诊。
Dermatol Ther. 2020 Sep;33(5):e13642. doi: 10.1111/dth.13642. Epub 2020 Jun 4.
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Pityriasis rosea as a cutaneous manifestation of COVID-19 infection.玫瑰糠疹作为新型冠状病毒肺炎感染的一种皮肤表现。
J Eur Acad Dermatol Venereol. 2020 Sep;34(9):e436-e437. doi: 10.1111/jdv.16579. Epub 2020 Jun 11.
8
Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.

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