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2019冠状病毒病感染背景下的一组独特症状。

A Unique Set of Symptoms in the Background of SARS-CoV-2 Infection.

作者信息

Hamid Muhammad Ammar B, Tariq Shahan

机构信息

Internal Medicine, National University of Medical Sciences, Rawalpindi, PAK.

出版信息

Cureus. 2021 Apr 1;13(4):e14244. doi: 10.7759/cureus.14244.

DOI:10.7759/cureus.14244
PMID:33954065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8088304/
Abstract

Coronavirus disease 2019 (COVID-19) is a respiratory disease that has been reported to have a wide array of extrapulmonary manifestations. Our knowledge regarding this virus is constantly evolving, and new literature is being published every day. Children usually have a mild severity of COVID-19 infection. A variety of skin lesions have been documented in this disease. Similarly, our 18-month-old patient who was diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection had mild symptoms, but three days later he presented to the hospital with the development of urticarial lesions followed by angioedema. In this case report, we have attempted to highlight a possible association of angioedema and urticarial with coronavirus infection. Physicians should be aware of this association and should always inquire about symptoms of respiratory illness (SARS-CoV-2) while dealing with patients in whom a specific trigger for angioedema/urticaria is un-identifiable.

摘要

2019冠状病毒病(COVID-19)是一种据报道有广泛肺外表现的呼吸道疾病。我们对这种病毒的认识在不断发展,每天都有新的文献发表。儿童感染COVID-19通常病情较轻。该疾病已记录有多种皮肤病变。同样,我们一名18个月大被诊断为严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的患者症状较轻,但三天后因出现荨麻疹样病变继而发展为血管性水肿而入院。在本病例报告中,我们试图强调血管性水肿和荨麻疹与冠状病毒感染之间可能存在的关联。医生应意识到这种关联,在处理血管性水肿/荨麻疹病因不明的患者时,应始终询问其呼吸道疾病(SARS-CoV-2)症状。

相似文献

1
A Unique Set of Symptoms in the Background of SARS-CoV-2 Infection.2019冠状病毒病感染背景下的一组独特症状。
Cureus. 2021 Apr 1;13(4):e14244. doi: 10.7759/cureus.14244.
2
Urticaria and angioedema as a prodromal cutaneous manifestation of SARS-CoV-2 (COVID-19) infection.荨麻疹和血管性水肿作为严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新型冠状病毒肺炎)感染的前驱性皮肤表现。
BMJ Case Rep. 2020 Jul 7;13(7):e236981. doi: 10.1136/bcr-2020-236981.
3
Atypical Manifestations of Severe Acute Respiratory Syndrome Coronavirus 2 Infection in Children: A Systematic Review.儿童严重急性呼吸综合征冠状病毒2感染的非典型表现:一项系统综述
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Human and novel coronavirus infections in children: a review.儿童人感染和新型冠状病毒感染:综述。
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Urticaria and coronavirus infection: a lesson from SARS-CoV-2 pandemic.荨麻疹与冠状病毒感染:SARS-CoV-2 大流行带来的启示。
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本文引用的文献

1
Cutaneous manifestations of COVID-19 in children (and adults): A virus that does not discriminate.儿童(和成人)中 COVID-19 的皮肤表现:一种不歧视的病毒。
Clin Dermatol. 2021 Mar-Apr;39(2):323-328. doi: 10.1016/j.clindermatol.2020.10.020. Epub 2020 Nov 1.
2
Skin manifestations of COVID-19 in children: Part 1.儿童 COVID-19 的皮肤表现:第 1 部分。
Clin Exp Dermatol. 2021 Apr;46(3):444-450. doi: 10.1111/ced.14481. Epub 2020 Nov 12.
3
Angioedema in COVID-19.新型冠状病毒肺炎相关血管性水肿
Eur Heart J. 2020 Sep 7;41(34):3283-3284. doi: 10.1093/eurheartj/ehaa452.
4
Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults.系统回顾儿童 COVID-19 病例表明,其症状比成人轻,预后也更好。
Acta Paediatr. 2020 Jun;109(6):1088-1095. doi: 10.1111/apa.15270. Epub 2020 Apr 14.
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Epidemiology of COVID-19 Among Children in China.中国儿童 COVID-19 流行病学。
Pediatrics. 2020 Jun;145(6). doi: 10.1542/peds.2020-0702. Epub 2020 Mar 16.
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Angioedema.血管性水肿
Crit Care Med. 2017 Apr;45(4):725-735. doi: 10.1097/CCM.0000000000002281.
7
Angioedema.血管性水肿。
World Allergy Organ J. 2008 Jun;1(6):103-13. doi: 10.1097/WOX.0b013e31817aecbe.
8
Urticaria and angioedema.荨麻疹和血管性水肿。
Immunol Allergy Clin North Am. 2005 May;25(2):353-67, vii. doi: 10.1016/j.iac.2005.03.003.