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COVID-19 成年患者的皮肤表现和医护人员中与 COVID-19 大流行相关的皮肤病。

Cutaneous Manifestations in Adult Patients with COVID-19 and Dermatologic Conditions Related to the COVID-19 Pandemic in Health Care Workers.

机构信息

Division of Allergy and Immunology, Department of Medicine, NYU Winthrop Hospital, 120 Mineola Blvd Suite 410, Mineola, New York, USA.

Department of Medicine, 222 Station Plaza North, Suite 509, Mineola, New York, USA.

出版信息

Curr Allergy Asthma Rep. 2020 Oct 12;20(12):75. doi: 10.1007/s11882-020-00974-w.

DOI:10.1007/s11882-020-00974-w
PMID:33047260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7549735/
Abstract

PURPOSE OF REVIEW

COVID-19 (coronavirus viral disease 2019), due to the novel SARS-CoV-2, may present with different types of cutaneous manifestations of varying pathophysiology. During the ongoing pandemic, publications reporting dermatologic findings in COVID-19 continue to emerge.

RECENT FINDINGS

Cutaneous vasculopathy and microthrombus-related changes including acral and sacral lesions, retiform purpura, livedo reticularis, and cutaneous vasculitis are notable findings in adult patients. Other exanthems include urticaria or angioedema, morbilliform/maculopapular exanthems, erythema multiforme, and vesicular eruptions. Increased recognition of these findings, especially those consistent with cutaneous microthrombi or vasculitis, is of particular importance. Additionally, occupational dermatologic disease related to extended personal protective equipment (PPE) use, such as skin damage and irritant or allergic contact dermatitis (ACD), represents another emerging problem amidst the pandemic. In this review, we highlight the various cutaneous manifestations associated with COVID-19 in adult patients and occupational dermatitis in health care workers (HCWs) caring for this patient population.

摘要

目的综述

COVID-19(冠状病毒病 2019)由新型 SARS-CoV-2 引起,可能表现为不同发病机制的多种皮肤表现。在持续的大流行期间,有关 COVID-19 皮肤科发现的出版物不断涌现。

最近的发现

皮肤血管病变和微血栓相关变化,包括肢端和骶部病变、网状青斑、网状青斑和皮肤血管炎,是成年患者的显著表现。其他出疹性疾病包括荨麻疹或血管性水肿、麻疹样/斑丘疹出疹、多形红斑和水疱性皮疹。特别重要的是要提高对这些表现的认识,尤其是那些与皮肤微血栓或血管炎一致的表现。此外,与长时间使用个人防护设备(PPE)相关的职业性皮肤病,如皮肤损伤和刺激性或过敏性接触性皮炎(ACD),也是大流行期间出现的另一个新问题。在这篇综述中,我们强调了与 COVID-19 相关的成年患者的各种皮肤表现以及照顾这一患者群体的医护人员(HCW)中的职业性皮炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/7549735/a5c13a74c078/11882_2020_974_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/7549735/eb08192245e1/11882_2020_974_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/7549735/a5c13a74c078/11882_2020_974_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/7549735/eb08192245e1/11882_2020_974_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9014/7549735/a5c13a74c078/11882_2020_974_Fig2_HTML.jpg

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