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COVID-19 门诊患者皮疹和冻疮样病变的预后:一项大型队列研究。

Prognosis of rash and chilblain-like lesions among outpatients with COVID-19: a large cohort study.

机构信息

Infectious Disease Department, University Hospital R. Poincaré, APHP, Paris Saclay University, 104 Bd R. Poincaré, 92380, Garches, France.

Cardiology Department, University Hospital Kremlin Bicêtre, APHP, Paris Saclay University, 104 Bd R. Poincaré, 92380, Garches, France.

出版信息

Eur J Clin Microbiol Infect Dis. 2021 Oct;40(10):2243-2248. doi: 10.1007/s10096-021-04305-3. Epub 2021 Jul 13.

Abstract

In a large regional observational cohort study of adult (≥ 18 years), outpatients with COVID-19, prevalence, characteristics, and outcome of patients with rash and/or chilblain-like lesions (CLL), compared with population without cutaneous features, were studied. In total, 28,957 outpatients were included; the prevalence of rash and CCL were 9.5% and 3.7%, respectively. Presence of rash was significantly associated with presence of asthenia, shivers or myalgia, respiratory and gastro-intestinal symptoms, and anosmia/ageusia. The presence of CCL was associated with chest pain, chest oppression, nausea/vomiting, and anosmia/ageusia. Patients with CCL were significantly less prone to an unfavourable outcome (hospitalization or death).

摘要

在一项针对成年(≥18 岁)门诊 COVID-19 患者的大型区域性观察队列研究中,研究了伴有皮疹和/或冻疮样病变(CLL)的患者与无皮肤特征的患者相比的患病率、特征和结局。共纳入 28957 名门诊患者;皮疹和 CCL 的患病率分别为 9.5%和 3.7%。皮疹的存在与乏力、寒战或肌痛、呼吸和胃肠道症状以及嗅觉丧失/味觉丧失显著相关。CCL 的存在与胸痛、胸部压迫、恶心/呕吐和嗅觉丧失/味觉丧失相关。CCL 患者的不良结局(住院或死亡)发生率明显较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36e9/8276548/4c06b1d6dfae/10096_2021_4305_Fig1_HTML.jpg

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