key: cord-0767464-46njnlct
authors: Gupta, Gaurav; Singh, Yogendra; Kumar Chellappan, Dinesh; Dua, Kamal
title: New emerging dermatological symptoms in coronavirus pandemic
date: 2020-05-04
journal: J Cosmet Dermatol
DOI: 10.1111/jocd.13466
sha: 679bfa1798a6de6d41414a99d803dc0754f30c8f
doc_id: 767464
cord_uid: 46njnlct

COVID‐19 (Coronavirus Disease 2019) is a fatal disease that could lead to a serious respiratory illness. It is caused by SARS‐CoV‐2 virus. In December 2019, the first of human cases were identified in China and the infection spread quickly around the world. The World Health Organisation (WHO) declared the disease, a global pandemic on 11 March 2020, even as COVID‐19 rapidly spread across the world. According to clinical reports, fever, headache, cough and myalgia are common clinical symptoms. Many symptoms also occur, such as sputum formation, haemoptysis and diarrhea.

Organisation (WHO) declared the disease, a global pandemic on 11 March 2020, even as COVID-19 rapidly spread across the world. According to clinical reports, fever, headache, cough and myalgia are common clinical symptoms. Many symptoms also occur, such as sputum formation, haemoptysis and diarrhea 1,2 .

Scientists have recently discovered new dermatological symptoms of COVID-19 on skin, which accompanies the other common symptoms, namely, fever and dry cough. It was observed recently that several COVID-19 patients reported severe itchy hives and rashes, whereas, others indicated a burning sensation on their skin. French dermatologist union, Le Syndicat National des Dermatologues-Vénéréologues (SNDV) revealed the potential new symptoms in a press release that was released on the April 6, 2020, after the SNDV communicated to a group of over 400 dermatologists that, they identified signs of skin lesions, both associated with and not associated

This article is protected by copyright. All rights reserved with Covid-19. According to them, these include the appearance of pseudo-frostbite of the extremities, sudden appearance of persistent redness; and sometimes painful, temporary, hivelike lesions. Analysis of a number of cases reported to the SNDV shows that these signs may be associated with Covid-19. The rashes have appeared in different shapes and sizes and have manifested anywhere on the body 3 . One of the related reports, described that the changes in the skin architecture were seen in majority of patients with COVID-19, who received treatment at the Alessandro Manzoni Hospital, in the Northern Italy. There were 88 patients who were where the first incidence of the disease was reported outside China, stated that dermatological manifestations might heavily interfere with the diagnosis of the disease. In their report, they explained this using a COVID-19 case admitted at a hospital in Bangkok, who was misdiagnosed as a dengue case. The reasons for this, as written by the authors, were the obvious presence of rashes on the skin, along with several red spots, that looked like bleeding into the skin. To add further confusion, the platelet count of the patient was lower than usual. To the doctors, this was an obvious case of dengue. However, the authors of the report concluded that, there is a high probability for a COVID-19 subject to present with skin manifestations, which may lead to misleading diagnosis 5 . Therefore, it is imperative that these exceptions may be considered first, before strategizing the treatment.

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