Publication: Morbilliform rashes in a patient with COVID-19 infection: A case report
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Nepalese Respiratory Society
Abstract
Abstract:
As the current COVID-19 pandemic is evolving, skin lesions are being reported more, the most common skin manifestation being morbilliform rashes. We describe a patient of severe COVID-19 infection, 48-year-old who initially presented with fever, cough and constitutional symptoms who developed morbilliform macular rashes during his illness. The rash appeared on 6th day of illness in the trunk, arms with sparing of palms and soles, associated with itching. He later developed features of the cytokine-storm syndrome. The exact mechanism for the rashes is yet to be elaborated, however, it is postulated that it is either due to immune-mediated vasodilation or micro thrombosis secondary to low-grade-coagulopathy associated with COVID-19. Recognition of rashes as a feature of this disease is particularly significant to clinicians as it aids in early diagnosis, particularly in resource-poor countries. There is no evident association, however, between the severity and the rashes in COVID-19 infection.
Description
Kiran Ghimire
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0002-2327-7219
Nabin Adhikari
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
https://orcid.org/0000-0003-3817-4404
Keywords
coagulopathy, COVID-19, cytokine release syndrome, D-dimer, morbilliform