key: cord-0829891-uk0c8v3a authors: Maria Victoria, Rosso; Thais, Clemant; Quiroga, Fernandez; Andrea, Carolina; Sandra, GarcĂ­a; Eric Oscar, Mulinaris title: SARS-CoV-2 and dengue virus coinfection involving the skin of an Argentinian female date: 2021-03-11 journal: Int J Womens Dermatol DOI: 10.1016/j.ijwd.2021.03.004 sha: 05b3ca95c338d41c6b0aa2da4dbf3cadeaf489af doc_id: 829891 cord_uid: uk0c8v3a nan A skin biopsy showed epidermal atrophy and marked superficial angiectasias, 29 dermis with intense oedema and no associated inflammatory changes (Fig. 2) . The spectrum of common dengue associated exanthemas includes macular-50 papular rash during the febrile phase, petechial rash during the febrile or critical 51 phase on extremities and erythematous widespread rash with "islands of white" 52 during the recovery phase (Yacoub and Wills, 2015) . Dengue exanthemas and 53 purpura have been reported as a more discriminating criterion for Dengue fever 54 rather than COVID-19 (Nacher et al., 2020) . Petechial rash, the cutaneous manifestation that our patient presented was 56 described in both diseases. Whether this rash was related to DENV, SARS- Clinical features of patients infected with 2019 79 novel Coronavirus in Wuhan, China Simultaneous dengue 82 and COVID-19 epidemics: Difficult days ahead? PLoS Negl Trop Dis Dengue: an update for clinicians working in non-endemic areas Covert COVID-19 and false-positive 87 dengue serology in Singapore Skin manifestations of COVID-19 Figure 2. H&E, 40x. Superficial angiectasias and dermis with intense oedema