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一例伴有疱疹样皮疹进展为网状青斑的 COVID-19 病例,伴有樱桃状血管瘤。

A case of COVID-19 with papulovesicular rash that progressed to retiform purpura, accompanied by cherry angiomas.

机构信息

MD, PhD. Dermatologist, Polyclinic for Dermatology and Venerology, Dermatology Clinic, Haseki Eğitim ve Araştırma Hastanesi, Istanbul, Turkey.

MD, PhD. Ophthalmologist, Kolan International Hospital, Istanbul, Turkey.

出版信息

Sao Paulo Med J. 2021 Mar-Apr;139(2):186-189. doi: 10.1590/1516-3180.2020.0620.R1.0212020.

Abstract

CONTEXT

Various skin manifestations have been reported in coronavirus disease. It may be difficult to determine the etiology of these lesions in view of the increased frequency of handwashing during the pandemic, along with occurrences of irritant contact dermatitis and allergic contact dermatitis due to disinfectant use; usage of herbal medicine and supplements to strengthen the immune system; and urticarial or maculopapular drug eruptions due to COVID-19 treatment. The variety of associated skin manifestations seen with COVID-19 makes it challenging to identify virus-specific skin manifestations. Petechiae, purpura, acrocyanosis and necrotic and non-necrotic purpura, which can be considered as manifestations of vascular involvement on the skin, have been reported.

CASE REPORT

Here, we report a case of eruptive cherry angiomas, which was thought to have developed due to COVID-19, with a papulovesicular rash on distal extremities that progressed over time to reticular purpura.

CONCLUSION

The case presented had a papulovesicular rash at the onset, which evolved to retiform purpura, and eruptive cherry angiomas were observed. It should be kept in mind that dermatological signs may vary in patients with COVID-19.

摘要

背景

在冠状病毒疾病中,已经报道了各种皮肤表现。由于大流行期间频繁洗手,再加上消毒剂使用导致刺激性接触性皮炎和过敏性接触性皮炎,以及草药和补品的使用以增强免疫系统,以及由于 COVID-19 治疗而出现荨麻疹或斑丘疹药物疹,这些病变的病因可能难以确定。由于 COVID-19 相关的皮肤表现多种多样,因此难以识别病毒特异性皮肤表现。已经报道了瘀点、紫癜、肢端发绀和坏死性和非坏死性紫癜,这些可以被认为是皮肤血管受累的表现。

病例报告

在这里,我们报告了一例樱桃状血管瘤爆发,据认为是由于 COVID-19 引起的,最初表现为远端肢端的丘疹性水疱性皮疹,随着时间的推移进展为网状紫癜。

结论

所报告的病例在发病时有丘疹性水疱性皮疹,随后进展为网状紫癜,并观察到樱桃状血管瘤。应记住,COVID-19 患者的皮肤征象可能会有所不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1d9/9632513/52e461236d31/1806-9460-spmj-139-02-186-gf1.jpg

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