Post-COVID Skin Lesions

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Erythematous skin lesion
Erythematous lesions on the second right toe

A patient, with a history suggesting a potential COVID-19 infection and positive close contact, presented with complaints of erythematous skin lesions.

A 16-years-old, otherwise healthy patient presented to the outpatient department with complaints of the erythematous skin lesions on the second toe of the right foot. Moreover, the patient also had papular lesions on the palms and soles too. The doctors admitted him for further evaluation.

Skin lesions on the palms of both hands.
Papular lesions on the sole of the foot.

The past medical history did not reveal any significant medical or drug history. The patient did not have any fever, respiratory- or gastrointestinal symptoms. Although, after further inquiring, the patient revealed that he was diagnosed with nasopharyngitis during the past 3 weeks. Upon asking about the close contacts, he reported his father and sister having dry cough. Additionally, the patient’s father had anosmia too.

Serological investigations revealed a C- reactive protein of 16 mg/l, however, the hemogram, ANA, and ANCA were normal.

The doctors advised PCR (polymerase chain reaction) based COVID-19 test for the patient, his father, and sister. The patient and his sister got negative COVID-19 results. However, the father tested positive.

The lesions spontaneously resolved over the next couple of days without any treatment or intervention.

Skin Manifestations in COVID-19 Patients:

Initially, patients infected with SARS CoV 2 (COVID-19) did not present with cutaneous symptoms. However, as more cases of COVID-19 are coming to light, healthcare professionals are coming across different clinical manifestations of this viral infection. Some studies have suggested that the most common dermatological manifestation of COVID-19 infection, to date, is maculopapular exanthem. Some other skin manifestations include papulovesicular rashes, urticaria (chicken-pox like lesions), acral and oral papules, livedo reticularis lesions, and petechiae. Either the skin lesions precede the respiratory symptoms, early on in the disease course, explain the negative status, or the lesion present later in the disease course.

Source: Elqatni M, Fatihi J, Jira M, Sekkach Y, Amezyane T, et al. (2021) Post Covid Skin Lesions. Clin Med Img Lib 7:165. doi.org/10.23937/2474-3682/1510165

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Dr. Arsia Hanif has been a meritorious Healthcare professional with a proven track record throughout her academic life securing first position in her MCAT examination and then, in 2017, she successfully completed her Bachelors of Medicine and Surgery from Dow University of Health Sciences. She has had the opportunity to apply her theoretical knowledge to the real-life scenarios, as a House Officer (HO) serving at Civil Hospital. Whilst working at the Civil Hospital, she discovered that nothing satisfies her more than helping other humans in need and since then has made a commitment to implement her expertise in the field of medicine to cure the sick and regain the state of health and well-being. Being a Doctor is exactly what you’d think it’s like. She is the colleague at work that everyone wants to know but nobody wants to be. If you want to get something done, you approach her – everyone knows that! She is currently studying with Medical Council of Canada and aspires to be a leading Neurologist someday. Alongside, she has taken up medical writing to exercise her skills of delivering comprehensible version of the otherwise difficult medical literature. Her breaks comprise either of swimming, volunteering services at a Medical Camp or spending time with family.

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