School of Medicine, Technical University of Munich, Munchen, Germany.
Department of Dermatology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.
Int J Dermatol. 2022 Jan;61(1):20-32. doi: 10.1111/ijd.15889. Epub 2021 Sep 22.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus responsible for coronavirus disease 2019 (COVID-19), which manifests as a flu-like respiratory infection affecting multiple organ systems, including the gastrointestinal system, central nervous system, cardiovascular system, skin, and mucosa. In this review, we investigated the literature on specific manifestations of COVID-19 in the oral mucosa. An online literature search in PubMed, Scopus, Google Scholar, and Medline was conducted to retrieve relevant studies on confirmed COVID-19 patients with oral mucosa findings published between December 31, 2019, and April 07, 2021. After an independent review by two authors, 39 articles considering 59 laboratory-confirmed cases of SARS-CoV-2 infection were included in the final analysis. The most common finding, reported in 29 patients (43.9%), was Kawasaki-like syndrome. In addition, oral ulcers including aphthous, hemorrhagic, and necrotic ulcers were reported in 24 patients (36.3%). Other lesions reported included pustules, macules, bullae, maculopapular enanthema, and erythema multiforme-like lesions. Concomitant skin lesions were present in 60.6% of patients. Fever was reported in 86.2% of patients. Forty-eight patients (76.1%) were hospitalized. Loss of taste and smell was present in 30.8% of the patients. A comprehensive understanding of the dermatologic manifestations of COVID-19 can improve and facilitate patient management and referrals.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是导致 2019 年冠状病毒病(COVID-19)的病毒,其表现为类似于流感的呼吸道感染,影响多个器官系统,包括胃肠道、中枢神经系统、心血管系统、皮肤和黏膜。在这篇综述中,我们调查了 COVID-19 口腔黏膜具体表现的文献。在 PubMed、Scopus、Google Scholar 和 Medline 上进行了在线文献检索,以检索 2019 年 12 月 31 日至 2021 年 4 月 7 日期间发表的关于口腔黏膜有发现的确诊 COVID-19 患者的相关研究。经过两位作者的独立审查,最终分析纳入了 39 篇考虑了 59 例 SARS-CoV-2 感染的实验室确诊病例的文章。最常见的发现是 29 例(43.9%)患者报告的川崎病样综合征。此外,24 例(36.3%)患者报告有口腔溃疡,包括阿弗他溃疡、出血性溃疡和坏死性溃疡。其他报告的病变包括脓疱、斑疹、水疱、斑丘疹口腔黏膜炎和多形红斑样病变。60.6%的患者伴有皮肤病变。86.2%的患者有发热。48 例(76.1%)患者住院。30.8%的患者味觉和嗅觉丧失。全面了解 COVID-19 的皮肤表现可以改善和促进患者的管理和转诊。
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