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一名新冠肺炎患者的银屑病样皮炎

Psoriasiform Dermatitis in a COVID-19 Patient.

作者信息

Wu Marlyn, Teymour Shereen, Ashinoff Robin, Ghani Hira

机构信息

Hackensack Meridian Palisades Medical Center, Palisades, NJ, USA.

Nassau University Medical Center, Long Island, NY, USA.

出版信息

Case Rep Dermatol Med. 2022 Dec 16;2022:1820673. doi: 10.1155/2022/1820673. eCollection 2022.

Abstract

Psoriasis is a chronic inflammatory papulosquamous disorder which affects around 2% of the world's population. A peak exacerbation in psoriatic symptoms was noted during COVID-19 due to lack of access to dermatological care mixed with heightened emotional stress during the pandemic. This case report describes a 52-year-old admitted male patient who sustained a diffuse rash on multiple areas of his body a week prior to testing positive for COVID-19. We explore plausible causes for the occurrence of the rash, discuss our treatment plan, include relevant clinical pictures, and review published literature to examine conditions that present similarly to the rash seen in our patient. It is crucial for dermatologists to be able to discern various systemic manifestations associated with cutaneous lesions, such as the one seen in this patient, in order to make an accurate and prompt diagnosis. A better understanding of the association between COVID-19 infection and psoriasiform lesions is needed for improving the prognostic and therapeutic outcomes in patients.

摘要

银屑病是一种慢性炎症性丘疹鳞屑性疾病,影响着全球约2%的人口。由于在疫情期间无法获得皮肤科护理以及情绪压力增大,新冠疫情期间银屑病症状出现了高峰加剧。本病例报告描述了一名52岁的男性住院患者,在新冠病毒检测呈阳性前一周,其身体多个部位出现了弥漫性皮疹。我们探讨了皮疹出现的可能原因,讨论了我们的治疗方案,展示了相关临床图片,并查阅了已发表的文献,以研究与我们患者所出现的皮疹表现相似的病症。皮肤科医生能够辨别与皮肤病变相关的各种全身表现,如本患者所见,对于做出准确及时的诊断至关重要。为了改善患者的预后和治疗效果,需要更好地了解新冠病毒感染与银屑病样病变之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e7e/9788876/acf423df7384/CRIDM2022-1820673.001.jpg

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