Section of Oral & Maxillofacial Pathology, New York-Presbyterian Queens, Flushing, NY, USA.
Section of Oral & Maxillofacial Pathology, New York-Presbyterian Queens, Flushing, NY, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Feb;135(2):268-271. doi: 10.1016/j.oooo.2022.07.015. Epub 2022 Jul 29.
Since the global COVID-19 pandemic, numerous reports have been made regarding oral lesions seen in COVID-19 patients. It remains unclear whether or not these are true manifestations of COVID-19. Here we present 3 patients who were hospitalized for COVID-19 and who developed atypical herpetic ulcerations during their treatment with remdesivir (Veklury) and steroids. In healthy patients, recurrent infection by herpes simplex virus (HSV) presents as lesions only on the lips and the attached oral mucosa. Atypical herpetic ulcerations are seen in immunocompromised patients. They present as large, stellate shaped ulcerations with raised borders and may involve movable mucosa. The 3 cases presented in this report resembled the atypical herpetic ulcerations typically seen in patients with immunosuppression. Through our report, we aimed to introduce the possibility of atypical herpetic ulcers in patients being treated for COVID-19, to allow for their timely diagnosis and to raise awareness of the underlying immunocompromised state.
自全球 COVID-19 大流行以来,已有大量关于 COVID-19 患者口腔病变的报告。目前尚不清楚这些病变是否为 COVID-19 的真实表现。在这里,我们介绍了 3 名因 COVID-19 住院的患者,他们在接受瑞德西韦(Veklury)和类固醇治疗期间出现了非典型疱疹性溃疡。在健康患者中,单纯疱疹病毒(HSV)的复发性感染仅表现为唇部和附着的口腔黏膜病变。非典型疱疹性溃疡发生于免疫功能低下的患者。它们表现为大的、星状的溃疡,边缘隆起,可能累及可移动的黏膜。本报告中介绍的 3 例病例类似于免疫抑制患者中常见的非典型疱疹性溃疡。通过我们的报告,我们旨在介绍 COVID-19 治疗患者中出现非典型疱疹性溃疡的可能性,以便及时诊断,并提高对潜在免疫抑制状态的认识。
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