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COVID-19 感染后红皮病性毛囊角化病:病例报告。

Pityriasis rubra pilaris post-infection due COVID-19: case report.

机构信息

Hospital Regional Lambayeque, Laboratorio de inmunología y virología, Dirección de Investigación. Chiclayo, Perú. Hospital Regional Lambayeque Laboratorio de inmunología y virología Dirección de Investigación Chiclayo Perú.

Hospital Regional Docente Belén de Lambayeque, Laboratorio de Microbiología, Servicio de Laboratorio Clínico, Belén de Lambayeque, Perú. Hospital Regional Docente Belén de Lambayeque Laboratorio de Microbiología Servicio de Laboratorio Clínico Belén de Lambayeque Perú.

出版信息

Colomb Med (Cali). 2021 Mar 18;52(1):e7014577. doi: 10.25100/cm.v52i1.4577.

Abstract

CASE DESCRIPTION

32-month-old boy, IgG positive for SARS-CoV-2, presented to the emergency department with dermatologic lesions.

CLINICAL FINDINGS

Four days before admission, he presented skin eruptions with redness and pruritus on hands and feet. Generalized papular erythema was evidenced, upper extremities with diffuse erythematosquamous plaques, palmoplantar keratoderma, so he was evaluated by a dermatologist who diagnosed pityriasis rubra pilaris.

TREATMENT AND OUTCOME

rehydrating cream, cetirizine 0.5 mg/kg/day every two days, and prednisolone 2 mg/kg/day in the morning. He was discharged after 14 days, the patient presented clinical improvement, but the erythematous lesion persisted on the trunk and extremities. In the evaluation, after three months, the patient did not show the described lesions, evidencing an improvement and clinical resolution of the dermatological problems.

CLINICAL RELEVANCE

We report a patient with pityriasis rubra piloris associated with a post-infection by SARS-CoV-2 that had not been described before.

摘要

病例描述

32 个月大的男孩,SARS-CoV-2 IgG 阳性,因皮肤病变到急诊就诊。

临床发现

入院前 4 天,他出现手部和足部红斑伴瘙痒的皮疹。全身出现斑片状红斑,上肢弥漫性红斑鳞屑斑块,掌跖角化过度,因此他由皮肤科医生评估,诊断为红皮病性毛发红糠疹。

治疗和结果

给予润肤霜、西替利嗪 0.5mg/kg/天,每两天一次,以及泼尼松龙 2mg/kg/天,早上一次。14 天后出院,患者临床改善,但躯干和四肢仍有红斑性病变。在三个月后的评估中,患者未出现所述病变,表明皮肤问题有所改善和临床痊愈。

临床意义

我们报告了一例与 SARS-CoV-2 感染后相关的红皮病性毛发红糠疹,这在此前尚未有过描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ed/8054706/6d2e152ae1fe/1657-9534-cm-52-01-e7014577-gf1.jpg

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