key: cord-1032030-6wzqitun
authors: Ahouach, B.; Harant, S.; Ullmer, A.; Martres, P.; Bégon, E.; Blum, L.; Tess, O.; Bachmeyer, C.
title: Cutaneous lesions in a patient with COVID‐19: are they related?
date: 2020-04-30
journal: Br J Dermatol
DOI: 10.1111/bjd.19168
sha: 9dc2663f70c79a8ebf92c7e992e9797f5848c39f
doc_id: 1032030
cord_uid: 6wzqitun

A previously healthy 57‐year‐old woman presented with fever (39 °C) lasting for 4 days, and dry cough and rash appeared 2 days before. Diffuse fixed erythematous blanching maculopapular lesions were present, asymptomatic over the limbs and trunk, with burning sensation over the palms (a, b). She denied any drug intake, excepting paracetamol for fever. Thorax computed tomography scan was typical of COVID‐19; nasopharyngeal swab polymerase chain reaction (PCR) confirmed SARS‐CoV‐2. Infectious enquiry was otherwise negative. Skin biopsy specimen showed slight spongiosis, basal cell vacuolation and mild perivascular lymphocytic infiltrate (c).

maculopapular lesions were present, asymptomatic over the limbs and trunk, with burning sensation over the palms (a, b). She denied any drug intake, excepting paracetamol for fever.

Thorax computed tomography scan was typical of COVID-19; nasopharyngeal swab polymerase chain reaction (PCR) confirmed SARS-CoV-2. Infectious enquiry was otherwise negative. Skin biopsy specimen showed slight spongiosis, basal cell vacuolation and mild perivascular lymphocytic infiltrate (c). PCR on whole-skin biopsy specimen was negative for SARS-CoV-2.

Fever and rash resolved within 9 days, dry cough within 2 weeks. Urticarial and chilblain-like lesions have been reported in patients with COVID-19, but other phenotypes could be observed. 1, 2 In our patient an immune reaction to the virus is possible.

B. Ahouach, 1 S. Harant, 2 A. Ullmer, 3 P. Martres, 4 E. Bégon, 1 L. Blum, 1 O. Tess 5 and C.

Bachmeyer 6

Urticarial eruption in COVID-19 infection

A case of COVID-19 presenting in clinical picture resembling chilblains disease. First report from the Middle East

Conflicts of interest: the authors declare they have no conflicts of interest