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eMediNexus Editorial 12 November 2021
COVID-19 is associated with multiple cutaneous manifestations. An early identification can aid in improving the prognosis. The most common are – pernio (chilblain)-like acral lesions; morbilliform (exanthematous) rash; urticaria; vesicular (varicella-like) eruptions; and vaso-occlusive lesions (livedo racemosa, retiform purpura).
However, the skin manifestations are generally benign and self-limiting, yet depict the prognosis of the disease. While chilblain-like acral lesions are generally associated with mild disease, retiform purpura has been typically reported in patients with most severe form of the disease. Dermatologic findings of COVID-19 can be a presenting sign in an otherwise minimally or asymptomatic individual.
Therefore, COVID-19 must be included in the differential diagnosis for such skin findings.
Source: Dermtologic Clinics. 2021 Oct; 39(4):487-503. doi: 10.1016/j.det.2021.05.006.
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