Jouret G, Damsin T, Vanhakendover L, Bailleux S, Braham C, Nikkels A F
Service de Dermatologie, CHU Liège, Belgique.
Dermatologue privé, Verviers, Belgique.
Rev Med Liege. 2020;75(S1):115-118.
Besides the principal respiratory symptoms, the COVID-19 has been associated with an important array of dermatological manifestations. However, it is not always easy to distinguish whether these skin manifestations are the result of a direct action of the virus on epidermal and/or dermal cell populations, represent a paraviral phenomenon or are a rather fortuitous association. In this review the principal cutaneous manifestations associated with COVID-19 are described as well as their eventual value in terms of diagnostic aid or as prognostic factor. The palmoplantar ischemic pseudo-chilblains lesions are the most frequently observed and are useful for epidemiological purposes. The disseminated vesicular eruptions affect about 23 % of the patient and may witness an initial COVID-19 infection, whereas the vasculitic lesions are rather rare but are currently considered as a factor of bad prognosis.
除了主要的呼吸道症状外，新冠病毒病还与一系列重要的皮肤表现有关。然而，要区分这些皮肤表现是病毒对表皮和/或真皮细胞群体直接作用的结果、代表副病毒现象还是纯属偶然的关联并不总是那么容易。在这篇综述中，描述了与新冠病毒病相关的主要皮肤表现，以及它们在辅助诊断或作为预后因素方面的潜在价值。掌跖缺血性冻疮样病变是最常见的，对流行病学研究有帮助。弥漫性水疱疹影响约23%的患者，可能提示新冠病毒病的初始感染，而血管性病变相当罕见，但目前被认为是预后不良的一个因素。
