Santos Maricar G, Gabuyo Am Karoline V
Department of Family and Community Medicine, Philippine General Hospital, University of the Philippines Manila.
Acta Med Philipp. 2024 Jul 31;58(13):87-91. doi: 10.47895/amp.v58i13.8092. eCollection 2024.
COVID-19 commonly manifests with respiratory symptoms but is reported to involve other organs including the skin. This is a case of a 58-year-old male diagnosed with mild COVID-19 infection via reverse transcriptase-polymerase chain reaction (RT-PCR) nasopharyngeal swab (NPS). He initially presented with symptoms of fever, cough, colds, sore throat, anosmia, ageusia, myalgia, and diarrhea. Maculopapular cutaneous lesions appeared on the extremities on the 3 day of illness and were described as pruritic and blanching. The patient was managed conservatively with oral hydration and vitamin supplementation. During home isolation, symptoms were monitored via telemedicine. He recovered and was asymptomatic 36 days from the onset of symptoms. During the early part of the pandemic, further diagnostic testing was challenging due to the restrictions that were implemented. However, careful history, modified physical examination, and monitoring through teleconsultation proved to be very useful. Documenting the course and outcome of COVID-19 patients with skin manifestations would help facilitate timely diagnosis and treatment, as well as anticipate the possible prognosis of patients who present with a similar clinical pattern.
新型冠状病毒肺炎（COVID-19）通常表现为呼吸道症状，但据报道可累及包括皮肤在内的其他器官。本文报告一例58岁男性患者，通过逆转录聚合酶链反应（RT-PCR）鼻咽拭子（NPS）确诊为轻度COVID-19感染。他最初出现发热、咳嗽、感冒、咽痛、嗅觉丧失、味觉丧失、肌痛和腹泻等症状。发病第3天，四肢出现斑丘疹性皮肤损害，伴有瘙痒和压之褪色。患者接受口服补液和补充维生素等保守治疗。居家隔离期间，通过远程医疗监测症状。他在症状出现36天后康复且无症状。在疫情早期，由于实施了限制措施，进一步的诊断检测具有挑战性。然而，详细的病史、改良的体格检查以及通过远程会诊进行监测被证明非常有用。记录有皮肤表现的COVID-19患者的病程和结局将有助于及时诊断和治疗，以及预测具有类似临床模式患者的可能预后。
