1. Clinical Cutaneous Features of Patients Infected With SARS-CoV-2 Hospitalized for Pneumonia: A Cross-sectional Study.
- Author
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Mascitti, Hélène, Bonsang, Benjamin, Dinh, Aurélien, Assan, Florence, Perronne, Véronique, Leblanc, Thibault, Duran, Clara, Bouchand, Frédérique, Matt, Morgan, Gal, Aurélie Le, Thanh, Julia N'guyen Van, Lanore, Aymeric, Jacob, Louis, Kiavue, Nicolas, Siméon, Soline, Bessis, Simon, Truchis, Pierre de, Landowski, Stéphanie, Davido, Benjamin, and Moreau, Frédérique
- Subjects
COVID-19 ,SARS-CoV-2 ,CYTOKINE release syndrome ,CROSS-sectional method ,CUTANEOUS manifestations of general diseases - Abstract
Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a current pandemic worldwide. This virus can reach all organs and disturbs the immune system, leading to a cytokine storm in severe forms. We aimed to report cutaneous features among coronavirus disease 2019 (COVID-19) hospitalized patients. Methods We performed a cross-sectional study on 1 given day among all patients hospitalized in acute care for COVID-19 and included all patients with cutaneous features. Follow-up 48 hours later was obtained. Results Among 59 adult patients hospitalized on the day of the study in an infectious diseases ward for SARS-CoV-2 infection who were confirmed by molecular assay and/or radiological findings (computed tomography scan), 40 were included. Several cutaneous manifestations were found: macular exanthema (80%), face edema (32%), livedo (13%), urticarial rash (8%), purpura (5%), oral lichenoid lesions (33%), and conjunctivitis (18%). Cutaneous biopsy was performed in 17 patients. Histological findings showed mast cell hyperplasia (100%), superficial perivascular infiltrate of lymphocytes (94%), and superficial edema (47%) consistent with capillary leak. Conclusions Various dermatological signs can be encountered during COVID-19. A macular rash was the most frequent. All cutaneous features could be related to a vascular leak process. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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