scholarly journals Atypical maculopapular rash as the initial sign of COVID-19: A case report from a COVID hospital

2020 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Olasseri Kalathingal Reena Mariyath ◽  
Koyakutty Abdul Samad ◽  
Keerankulangara Devi ◽  
Vandipurackal Sukumaran Surya ◽  
Merin David Effeena ◽  
...  
Keyword(s):  
Case Report ◽  
Skin Rash ◽  
Erythema Multiforme ◽  
Maculopapular Rash ◽  
Skin Lesions ◽  
Cutaneous Manifestation ◽  
Drug Intake ◽  
Initial Manifestation ◽  
The Face ◽  
Initial Sign

Maculopapular rash mainly distributed over the trunk, is reported as the most common cutaneous manifestation in COVID-19 patients. The palms, soles, and face are usually spared. The rash is associated with itching in 56% of patients and is observed along with COVID-19 symptoms. Maculopapular rash is considered as a feature of severe COVID-19 and the lesions usually resolve in 10 days. We report a COVID-19 patient whose initial manifestation was an atypical maculopapular rash with urticarial wheals and erythema multiforme-like lesions. The patient denied drug intake before the onset of skin lesions. The rash was distributed over the face, palms, and soles in addition to the trunk and limbs. The patient had only mild symptoms of COVID-19. The rash lasted for 3 weeks and resolved with post-inflammatory hyperpigmentation and peeling of the skin of the fingertips. We report this case to highlight the possibility of skin rash being the initial sign of COVID-19.

scholarly journals Follicular eruption as a cutaneous manifestation in COVID-19

2020 ◽  
Vol 13 (10) ◽  
pp. e238182
Author(s):  
Retno Danarti ◽  
Aries Budiarso ◽  
Dionisia Lintang Unggul Rini ◽  
Hardyanto Soebono
Keyword(s):  
Skin Rash ◽  
Skin Lesions ◽  
Cutaneous Manifestation ◽  
Dermatology Clinic ◽  
Systemic Symptoms ◽  
Mild Fever

A 50-year-old man presented to our dermatology clinic with itchy skin rash. The rash began 5 days after systemic symptoms appeared such as mild fever and mild dyspnoea. The rashes were a characteristic of follicular eruption, which started on his stomach and spread all over his body. After a thorough evaluation, he was diagnosed with COVID-19 and was started on COVID-19 regimens. Skin lesions disappeared on the ninth day of treatment. Our findings contribute to the growing awareness of dermatological manifestations in patients with COVID-19.

scholarly journals Case report on tuberous sclerosis

2021 ◽  
Vol 97 (2) ◽  
pp. 56-60
Author(s):  
Nadezhda V. Krasnova ◽  
Geliya G. Gimalieva ◽  
Larisa G. Sinitsyna
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Ct Scan ◽  
Tuberous Sclerosis ◽  
Skin Lesions ◽  
Visual Examination ◽  
Comprehensive Examination ◽  
The Face ◽  
The Brain ◽  
Tubular Bones

Patient M., 23 years old, consulted a dermatologist with complaints of rashes on the face, which had bothered since childhood. On objective examination, skin lesions were widespread. A visual examination revealed spots of hypopigmentation, angiofibromas of the face, shagreen fate of the skin, periungual fibromas. She was diagnosed with tuberous sclerosis. Further examination revealed a neoplasm in the brain and right kidney, damage to the lungs, tubular bones, lymphadenopathy. The patient continues to be monitored by a neurologist and therapist. Based on the results of CT scan of the chest organs, an oncologist's consultation was scheduled to conduct an oncology search. Thus, with skin manifestations characteristic of this disease, it is necessary to conduct a comprehensive examination to identify concomitant pathology and early diagnosis of complications.

scholarly journals Erythema marginatum: an uncommon presentation of acute rheumatic fever in a Nigerian adolescent girl—a case report

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Barakat Adeola Animasahun ◽  
Faith O. Lawani ◽  
Moriam Omolola Lamina
Keyword(s):  
Case Report ◽  
Rheumatic Fever ◽  
Acute Rheumatic Fever ◽  
Skin Lesions ◽  
Secondary Prophylaxis ◽  
Pulmonary Artery Hypertension ◽  
Mitral Valves ◽  
Reticular Pattern ◽  
Uncommon Presentation ◽  
The Face

Abstract Background Erythema marginatum is an uncommon presentation in children with acute rheumatic fever and it is one of the major criteria needed to make a diagnosis. It is seen in less than 10% of cases. It is also reported to be difficult to detect in black-skinned children. This is the first and only patient to present with the above since the inception of the unit about 14 years ago and also the first to be reported in Nigeria as far as the authors are aware, after a careful literature search; hence, we report this case based on the rarity of this symptom of acute rheumatic fever. Case presentation This is a case report of O.E, a 12-year-old Nigerian girl who presented with features of acute rheumatic fever, and these features included the rare manifestation of erythema marginatum. She presented with generalized skin eruptions on the trunk and extremities, sparing the face, migratory polyarthritis, features of congestive heart failure and high grade continuous fever. The skin lesions consisted of papules, patches, plaques and polycycles with a reticular pattern having serpiginous and raised borders. Diagnostic investigations revealed elevated erythrocyte sedimentation rate of 83mm/h, anti-streptolysin O titer of 2020IU/L and echocardiography which showed thickened mitral valves with grade II mitral regurgitation and a mild pulmonary artery hypertension. The patient was treated with anti-inflammatory and anti-failure drugs and commenced secondary prophylaxis with benzathine penicillin. Skin eruptions resolved within 3 weeks of management and are currently on follow up. Conclusions We present the above to increase awareness on the possibility of acute rheumatic fever presenting with erythema marginatum in our region, to encourage early diagnosis of acute rheumatic fever to reduce morbidity and mortality from its sequel, rheumatic heart disease.

scholarly journals Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

2021 ◽  
Vol 6 (1) ◽  
pp. 01-05
Author(s):  
Daniel Jiménez Zaragoza ◽  
Jorge Paredes Vieyra ◽  
Francisco Javier Jiménez Enríquez
Keyword(s):  
Case Report ◽  
Skin Lesions ◽  
Sinus Tract ◽  
Purulent Discharge ◽  
Radiographic Examination ◽  
Odontogenic Infections ◽  
Facial Region ◽  
Dental Origin ◽  
The Face ◽  
Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

scholarly journals Juvenile sterile granulomatous dermatitis (puppy strangle) in Pekingese and German shepherd puppies

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Mohammad Abbaszadeh Hasiri ◽  
Efat Baghaei Moghaddam
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Bacterial Culture ◽  
Skin Lesions ◽  
Response To Therapy ◽  
Skin Scraping ◽  
German Shepherd ◽  
Present Case Report ◽  
The Face ◽  
Granulomatous Dermatitis

Juvenile sterile granulomatous dermatitis is an uncommon granulomatous and pustular disorder of the face, pinnae, and submandibular lymph nodes of puppies. A 10-week-old male Pekingese and a 8-week-old female German shepherd presented with submandibular lymphadenomegaly, skin lesions on muzzle and periocular area (Papules, crusts and pustules). The case did not respond to antibiotic therapy. Results of a hemogram, biochemical panel, and urinalysis were normal. Due to skin scraping, cytology examination (impression smear), fungal and bacterial culture and response to therapy puppy strangle (juvenile cellulitis) was diagnosed. The puppies made a full recovery on glucocorticoid therapy. The present case report describes the first report of juvenile sterile granulomatous dermatitis in Iran.

scholarly journals Cutaneous manifestations of COVID-19: experience from a tertiary care center for COVID-19 management in South India

2020 ◽  
Vol 7 (1) ◽  
pp. 118
Author(s):  
Olasseri K. R. Mariyath ◽  
Sreekanth Sukumarakurup ◽  
Koyakutty A. Samad ◽  
Keerankulangara Devi ◽  
George Nikhil ◽  
...  
Keyword(s):  
Erythema Multiforme ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Maculopapular Rash ◽  
Skin Lesions ◽  
Tertiary Care Center ◽  
Cutaneous Manifestations ◽  
Exanthematous Pustulosis ◽  
Isolation Ward

<p class="abstract">Cutaneous manifestations observed in COVID-19 include maculopapular rash, urticaria, pseudo chilblain, vesicles, livedo reticularis, petechiae, erythema multiforme-like, symmetric drug related intertriginous and flexural exanthem (SDRIFE)-like and pityriasis rosea-like lesions. Maculopapular rash involving the trunk and sparing palms and soles is the most common cutaneous manifestation reported in COVID-19 patients. We report cutaneous manifestations in six COVID-19 patients from the corona isolation ward and intensive care unit of a tertiary care center for COVID-19 management in Kerala, South India. The skin lesions observed were urticaria (two patients), atypical maculopapular rash with urticarial and erythema multiforme-like lesions, eruptive pseudoangiomatosis, exaggerated insect bite reaction and acute localized exanthematous pustulosis (ALEP)-like lesions. To the best of our knowledge atypical maculopapular rash with urticarial and erythema multiforme-like lesions, eruptive pseudoangiomatosis and acute localized exanthematous pustulosis-like lesions are not reported in COVID-19.</p>

scholarly journals Cutaneous manifestations in a patient with temporarily associated pediatric multisystemic inflammatory syndrome with COVID-19: case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Alessandra Oliveira ◽  
Kamilla Pádua ◽  
Maria Carolina Alves ◽  
Glaucia Silva ◽  
Fernando Paula ◽  
...  
Keyword(s):  
Case Report ◽  
Reference Value ◽  
Maculopapular Rash ◽  
Cutaneous Manifestations ◽  
The Face ◽  
Hands And Feet ◽  
Inflammatory Syndrome ◽  
Positive Results ◽  
Infectious Condition

OBJECTIVES: To describe the cutaneous manifestations presented by a patient with pediatric multisystemic inflammatory syndrome (MIS-C) temporarily associated with SARS-CoV-2. METHODS: Female patient, 10 years old, presenting arthralgia in the wrists and ankles, edema in hands and feet, persistent fever, appearance of diffuse, and itchy maculopapular rash associated with odynophagia and productive cough. Evolution of the rash to violaceous lesions on the face, trunk and limbs (upper and lower), in addition to the appearance of vesicles on the face, within 48 hours. CBC suggestive of an infectious condition, with CRP 307mg/L (insert reference value) and ESR 61mm. RT-PCR for SARS-CoV-2 positive. RESULTS: Diagnosis of pediatric multisystemic inflammatory syndrome temporarily associated with SARS-CoV2. Transferred to ICU for monitoring and intravenous human immunoglobulin initiated. Good evolution, with the disappearance of injuries and discharge with outpatient follow-up. CONCLUSION: MIS-C has several dermatological manifestations and pediatricians must be attentive to the diagnosis, not limited to a specific presentation. In this case report, the importance of referral to tertiary referral centers for better case management and timely recognition of the syndrome in these patients is emphasized.

scholarly journals Antiphospholipid syndrome associated with non-infective mitral valve endocarditis: a case report

2014 ◽  
Vol 4 (1) ◽  
pp. 63-67
Author(s):  
Dragan Stevanović ◽  
Denis Mačkić ◽  
Elvira Džambasović ◽  
Amir Čehajić ◽  
Faruk Čustović ◽  
...  
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Venous Thrombosis ◽  
Skin Rash ◽  
Antiphospholipid Syndrome ◽  
Rare Case ◽  
Skin Lesions ◽  
Severe Mitral Regurgitation

We present a rare case of antiphospholipid syndrome associated with non-infectious thrombotic endocarditis of the mitral valve. The patient was admitted to hospital for examination because of skin lesions manifested through a discoid skin rash. During the hospitalization antiphospholipid syndrome was diagnosed along with ultrasound verification of vegetations on the mitral valve, including both leaflets, with moderate to severe mitral regurgitation. Adequate and opportunely introduced therapy led to regression of all symptoms, including endocarditis of the mitral valve on checkup ultrasound verifications, with a prevention of arterial and/or venous thrombosis in patient's future.

scholarly journals Risperidone-Induced Erythema Multiforme Minor: A Case Report

2020 ◽  
Vol 10 (4) ◽  
pp. 28119.1-28119.3
Author(s):  
Sina Negintaj ◽  
◽  
Reza Bidaki ◽  
Javad Zare Kamali ◽  
Fatemeh Saghafi ◽  
...  
Keyword(s):  
Case Report ◽  
Erythema Multiforme ◽  
Scientific Literature ◽  
Drug Regimen ◽  
Skin Lesions ◽  
Mucosal Involvement ◽  
Time Of Admission ◽  
New Skin ◽  
Rapid Appearance

Erythema Multiforme (EM) is a hypersensitivity reaction that can be triggered by an infection or particular medications. Erythema multiforme minor (EM minor) represents localized skin lesions with minimal or no mucosal involvement. Only a few case of EM associated with risperidone are found in the scientific literature. In this case report, the administration of the risperidone resulted in the rapid appearance of skin lesions. Erythematous lesions were recovered upon discontinuation of the drug and no new skin lesion was observed. A 52-year-old male patient was admitted to the psychiatry hospital because of developing schizophrenic symptoms. At the time of admission, risperidone was added to her previous drug regimen. Two weeks later, the patient returned with a complaint of progressively increasing rashes over his body. The patient was diagnosed with EM minor. The prescribed risperidone was discontinued due to its side-effect profile and the patient’s drug regimen was changed entirely to the olanzapine, haloperidol, and topical clobetasol. At one month follow up visit, his skin lesions were satisfactorily controlled.

scholarly journals A Case Report of Erythema Multiforme

2019 ◽  
Vol 9 (2) ◽  
pp. 46-49
Author(s):  
Md Mohaiminul Islam ◽  
Md Huzzatul Islam Khan ◽  
Rifat Rahman ◽  
Md Ashif Iqbal
Keyword(s):  
Case Report ◽  
Food Intake ◽  
Oral Cavity ◽  
Hypersensitivity Reaction ◽  
Erythema Multiforme ◽  
Systemic Corticosteroid ◽  
Food Additives ◽  
Drug Intake ◽  
Inflammatory Disorder ◽  
Female Patients

Erythema multiforme is a reactive mucocutaneous disorder which is an acute, self-limiting, inflammatory disorder characterized by degrees of blistering and ulceration. This disorder is created hypersensitivity reaction which is triggered by certain infection, medication , food additives or chemicals. We report a case of erythema multiforme managed with prophylactic valacyclovir and systemic corticosteroid. An 47 years old female patients had lesions in the oral cavity, lips, hand and ear which had been diagnosed as erythema multiforme minor. This was not related to drug intake; it was related to food intake. We can treat this disease with valacyclovir for 2weeks to control this disorder. Update Dent. Coll. j: 2019; 9 (2): 46-49

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