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1例新型冠状病毒肺炎(COVID-19)患者的非典型播散性带状疱疹:COVID时代的诊断挑战

Case of atypical disseminated herpes zoster in a patient with COVID-19: A diagnostic challenge in COVID era.

作者信息

Mohaghegh Fatemeh, Hatami Parvaneh, Aryanian Zeinab

机构信息

Department of Dermatology Skin Diseases and Leishmaniasis Research Center Isfahan University of Medical Sciences Isfahan Iran.

Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2022 Feb 2;10(2):e05342. doi: 10.1002/ccr3.5342. eCollection 2022 Feb.

Abstract

Herpes Zoster caused by reactivation of latent Varicella-Zoster virus (VZV). The rare disseminated form of it occurred mainly in immunocompromised patients. We hereby present the first case of atypical disseminated herpes zoster in a 54-year-old woman admitted with serious COVID. In this case, disseminated herpes zoster developed by purpuric lesions mimicking vasculitis and cutaneous drug reaction. Hence, this case serves as a reminder for considering atypical presentations of cutaneous disorders in immunocompromised patients, especially those affected with severe COVID.

摘要

带状疱疹由潜伏的水痘-带状疱疹病毒(VZV)重新激活引起。其罕见的播散型主要发生在免疫功能低下的患者中。我们在此报告首例非典型播散性带状疱疹病例,患者为一名54岁女性,因严重的新冠肺炎入院。在该病例中,播散性带状疱疹表现为类似血管炎和皮肤药物反应的紫癜性皮损。因此,该病例提醒我们要考虑免疫功能低下患者皮肤疾病的非典型表现,尤其是那些患有严重新冠肺炎的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f06/8811175/8f0cdd954ea4/CCR3-10-e05342-g001.jpg

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