Case Report

A Challenging Case of COVID-19 With Skin Manifestatons and Normal Chest Computed Tomography

Abstract

We report a case of laboratory-confirmed COVID-19 with an unusual presentation of fever and rash without any respiratory symptoms. Skin manifestations can help physicians to rapidly diagnose and control this pandemic disease.

[1] Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical charac- teristics of coronavirus disease 2019 in China. New England Journal of Medicine. 2020; 28. [DOI:10.1101/2020.02.06.20020974]
[2] Darlenski R, Tsankov N. Covid-19 pandemic and the skin - What should dermatologists know? Clin Dermatol. 2020; in press. [DOI:10.1016/j. clindermatol.2020.03.012 (Accessed 3/30/20).] [PMID]
[3] Coronavirus disease 2019. Symptoms. Centres for Disease Control and Prevention. 2020. [Accessed on: 29 May 2020] https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/ symptoms.html.
[4] World Health Organization (WHO). Coronavirus disease (COV- ID-19) pandemic. 2020. [Accessed on: 30 May 2020] https://www. who.int/health-topics/coronavirus
[5] National Syndicate of Dermatologists - Venereologists [Le Syndicat National des Dermatologues-Vénéréologues (SNDV): Alerte sur les manifestations cutanées du COVID 19 (French)] [Internet]. [Updated: 2020, April 11]. Available from: https://www.syndicatdermatos.org/ wp-content/uploads/2020/04/cp-covid-peau-6-avril.pdf
[6] Societe Fracaise de Dermatologie. Covid Skin Findings [Covid-19 et lésions cutanées: la Société Française de Dermatologie appelle à la vigilance mais également à la prudence(French)] [Internet]. [Updat- ed: 2020, April 8. Available from: https://www.sfdermato.org/media/ pdf/communique-presse/cp-lesions-cutanees-covid 08042020vdef-bis 2fd934abcac1b20cbe1973fd990f9b82.pdf
[7] Chen Y, Peng H, Wang L, Zhao Y, Zeng L, Gao H, et al. Infants born to mothers with a new coronavirus (COVID-19). Frontiers in Pediat- rics. 2020; 8:1-5. [DOI:10.3389/fped.2020.00104] [PMID] [PMCID]
[8] Recalcati S. Cutaneous manifestations in COVID-19: A first per- spective. Journal of the European Academy of Dermatology and Venereology. 2020; 34(5):e212-e213. [DOI:10.1111/jdv.16387]
[9] Hoenig LJ, Pereira FA. Addendum to: Eruption as a clinical manifes- tation of COVID-19: Photographs of a patient. Clinics in Dermatol- ogy. 2020; 502-5. [DOI:10.1016/j.clindermatol.2020.05.020]
[10] Hunt M, Koziatek C. A case of COVID-19 pneumonia in a young male with full body rash as a presenting symptom. Clinical Practice and Cases in Emergency Medicine. 2020; 4(2):219-21 [DOI:10.5811/cpcem.2020.3.47349]
[11] Joob B, Wiwanitkit V. COVID-19 can present with a rash and be mistaken for Dengue. Journal of the American Academy of Der- matology. 2020 Mar 22. [DOI:10.1016/j.jaad.2020.03.036] [PMID] [PMCID]
[12] Zhang Y, Cao W, Xiao M, Li YJ, Yang Y, Zhao J, et. al. [Clinical and co- agulation characteristics of 7 patients with critical COVID-19 pneu- monia and acro-ischemia (Chinese)]. Zhonghua Xue Ye Xue Za Zhi. 2020; 41(0):302-7. [DOI:10.3760/cma.j.issn.0253-2727.2020.0006] [PMID]
[13] Mazzota F, Troccoli T. Acute Acro-Ischemia in a Child at the time of COVID-19. European Journal of Pediatric Dermatology. 2020; [13] Mazzota F, Troccoli T. Acute Acro-Ischemia in a Child at the time of COVID-19. European Journal of Pediatric Dermatology. 2020;
[14] Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavi- rus Disease 2019 (COVID-19): A perspective from China. Radiology. 2020; 296(2):E15-E25. [DOI:10.1148/radiol.2020200490] [PMID] [PMCID]
[15] Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, et al. Chest CT findings in coronavirus disease-19 (COVID-19): Relation- ship to duration of infection. Radiology. 2020; 295(3):685-91. [DOI:10.1148/radiol.2020200463] [PMID] [PMCID]
[16] Yang W, Cao Q, Qin L, Wang X, Cheng Z, Pan A, et al. Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19): A multi-center study in Wenzhou city, Zhejiang, China. Journal of Infection. 2020; 80(4):388-93. [DOI:10.1016/j.jinf.2020.02.016] [PMID] [PMCID]
[17] Yang W, Yan F. Patients with RT-PCR confirmed COVID-19 and normal chest CT. Radiology. 2020; 295(2):E3. [DOI:10.1148/radi- ol.2020200702] [PMID] [PMCID]
Files
IssueVol 5 No 4 (2020): Autumn QRcode
SectionCase Report(s)
Published2021-01-16
DOI https://doi.org/10.18502/crcp.v5i4.5055
Keywords
COVID-19 SARS-CoV-2 Rash

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Zare E, Panahi M, Mahboubi Fooladi Z. A Challenging Case of COVID-19 With Skin Manifestatons and Normal Chest Computed Tomography. CRCP. 5(4):118-120.