Pleomorphicskin eruptions in a COVID-19 affected patient: Case report and review of the literature.
Identifieur interne : 000056 ( Main/Corpus ); précédent : 000055; suivant : 000057Pleomorphicskin eruptions in a COVID-19 affected patient: Case report and review of the literature.
Auteurs : Enrico Scala ; Luca Fania ; Filippo Bernardini ; Rodolfo Calarco ; Sabrina Chiloiro ; Cristiana Di Campli ; Sabrina Erculei ; Mauro Giani ; Marzia Giordano ; Annarita Panebianco ; Francesca Passarelli ; Andrea Trovè ; Sofia Verkhovskaia ; Giandomenico Russo ; Antonio Sgadari ; Biagio Didona ; Damiano AbeniSource :
- Immunity, inflammation and disease [ 2050-4527 ] ; 2021.
Abstract
The coronavirus disease (COVID-19), during its course, may involve several organs, including the skin with a petechial skin rash, urticaria and erythematous rash, or varicella-like eruption, representing an additional effect of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as commonly observed in other viral diseases. Considering that symptomatic patients with COVID-19 generally undergo multidrug treatments, the occurrence of a possible adverse drug reaction presenting with cutaneous manifestations should be contemplated. Pleomorphic skin eruptions occurred in a 59-year-old Caucasian woman, affected by a stable form of chronic lymphocytic leukemia, and symptomatic SARS-CoV-2 infection, treated with a combination of hydroxychloroquine sulfate, darunavir, ritonavir, sarilumb, omeprazole, ceftriaxone, high-flow oxygen therapy devices, filgrastim (Zarzio®) as a single injection, and enoxaparin. The patient stopped all treatment but oxygen and enoxaparin were continued and the patient received a high-dose Desametasone with complete remission of dermatological impairment in 10 days. It is very important to differentially diagnose COVID-19 disease-related cutaneous manifestations, where is justified to continue the multidrug antiviral treatment, from those caused by an adverse drug reaction, where it would be necessary to identify the possible culprit drug and to start appropriate antiallergic treatment.
DOI: 10.1002/iid3.382
PubMed: 33942541
Links to Exploration step
pubmed:33942541Le document en format XML
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<author><name sortKey="Verkhovskaia, Sofia" sort="Verkhovskaia, Sofia" uniqKey="Verkhovskaia S" first="Sofia" last="Verkhovskaia">Sofia Verkhovskaia</name>
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<author><name sortKey="Russo, Giandomenico" sort="Russo, Giandomenico" uniqKey="Russo G" first="Giandomenico" last="Russo">Giandomenico Russo</name>
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<author><name sortKey="Didona, Biagio" sort="Didona, Biagio" uniqKey="Didona B" first="Biagio" last="Didona">Biagio Didona</name>
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<author><name sortKey="Abeni, Damiano" sort="Abeni, Damiano" uniqKey="Abeni D" first="Damiano" last="Abeni">Damiano Abeni</name>
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<author><name sortKey="Calarco, Rodolfo" sort="Calarco, Rodolfo" uniqKey="Calarco R" first="Rodolfo" last="Calarco">Rodolfo Calarco</name>
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<author><name sortKey="Chiloiro, Sabrina" sort="Chiloiro, Sabrina" uniqKey="Chiloiro S" first="Sabrina" last="Chiloiro">Sabrina Chiloiro</name>
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<author><name sortKey="Di Campli, Cristiana" sort="Di Campli, Cristiana" uniqKey="Di Campli C" first="Cristiana" last="Di Campli">Cristiana Di Campli</name>
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<author><name sortKey="Erculei, Sabrina" sort="Erculei, Sabrina" uniqKey="Erculei S" first="Sabrina" last="Erculei">Sabrina Erculei</name>
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<author><name sortKey="Giani, Mauro" sort="Giani, Mauro" uniqKey="Giani M" first="Mauro" last="Giani">Mauro Giani</name>
<affiliation><nlm:affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</nlm:affiliation>
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<author><name sortKey="Giordano, Marzia" sort="Giordano, Marzia" uniqKey="Giordano M" first="Marzia" last="Giordano">Marzia Giordano</name>
<affiliation><nlm:affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</nlm:affiliation>
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<author><name sortKey="Panebianco, Annarita" sort="Panebianco, Annarita" uniqKey="Panebianco A" first="Annarita" last="Panebianco">Annarita Panebianco</name>
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<author><name sortKey="Passarelli, Francesca" sort="Passarelli, Francesca" uniqKey="Passarelli F" first="Francesca" last="Passarelli">Francesca Passarelli</name>
<affiliation><nlm:affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Trove, Andrea" sort="Trove, Andrea" uniqKey="Trove A" first="Andrea" last="Trovè">Andrea Trovè</name>
<affiliation><nlm:affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Verkhovskaia, Sofia" sort="Verkhovskaia, Sofia" uniqKey="Verkhovskaia S" first="Sofia" last="Verkhovskaia">Sofia Verkhovskaia</name>
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</affiliation>
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<author><name sortKey="Russo, Giandomenico" sort="Russo, Giandomenico" uniqKey="Russo G" first="Giandomenico" last="Russo">Giandomenico Russo</name>
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<affiliation><nlm:affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Didona, Biagio" sort="Didona, Biagio" uniqKey="Didona B" first="Biagio" last="Didona">Biagio Didona</name>
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<author><name sortKey="Abeni, Damiano" sort="Abeni, Damiano" uniqKey="Abeni D" first="Damiano" last="Abeni">Damiano Abeni</name>
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<front><div type="abstract" xml:lang="en">The coronavirus disease (COVID-19), during its course, may involve several organs, including the skin with a petechial skin rash, urticaria and erythematous rash, or varicella-like eruption, representing an additional effect of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as commonly observed in other viral diseases. Considering that symptomatic patients with COVID-19 generally undergo multidrug treatments, the occurrence of a possible adverse drug reaction presenting with cutaneous manifestations should be contemplated. Pleomorphic skin eruptions occurred in a 59-year-old Caucasian woman, affected by a stable form of chronic lymphocytic leukemia, and symptomatic SARS-CoV-2 infection, treated with a combination of hydroxychloroquine sulfate, darunavir, ritonavir, sarilumb, omeprazole, ceftriaxone, high-flow oxygen therapy devices, filgrastim (Zarzio®) as a single injection, and enoxaparin. The patient stopped all treatment but oxygen and enoxaparin were continued and the patient received a high-dose Desametasone with complete remission of dermatological impairment in 10 days. It is very important to differentially diagnose COVID-19 disease-related cutaneous manifestations, where is justified to continue the multidrug antiviral treatment, from those caused by an adverse drug reaction, where it would be necessary to identify the possible culprit drug and to start appropriate antiallergic treatment.</div>
</front>
</TEI>
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<Month>05</Month>
<Day>04</Day>
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<Month>May</Month>
<Day>04</Day>
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<Title>Immunity, inflammation and disease</Title>
<ISOAbbreviation>Immun Inflamm Dis</ISOAbbreviation>
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<ArticleTitle>Pleomorphicskin eruptions in a COVID-19 affected patient: Case report and review of the literature.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/iid3.382</ELocationID>
<Abstract><AbstractText>The coronavirus disease (COVID-19), during its course, may involve several organs, including the skin with a petechial skin rash, urticaria and erythematous rash, or varicella-like eruption, representing an additional effect of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as commonly observed in other viral diseases. Considering that symptomatic patients with COVID-19 generally undergo multidrug treatments, the occurrence of a possible adverse drug reaction presenting with cutaneous manifestations should be contemplated. Pleomorphic skin eruptions occurred in a 59-year-old Caucasian woman, affected by a stable form of chronic lymphocytic leukemia, and symptomatic SARS-CoV-2 infection, treated with a combination of hydroxychloroquine sulfate, darunavir, ritonavir, sarilumb, omeprazole, ceftriaxone, high-flow oxygen therapy devices, filgrastim (Zarzio®) as a single injection, and enoxaparin. The patient stopped all treatment but oxygen and enoxaparin were continued and the patient received a high-dose Desametasone with complete remission of dermatological impairment in 10 days. It is very important to differentially diagnose COVID-19 disease-related cutaneous manifestations, where is justified to continue the multidrug antiviral treatment, from those caused by an adverse drug reaction, where it would be necessary to identify the possible culprit drug and to start appropriate antiallergic treatment.</AbstractText>
<CopyrightInformation>© 2020 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Scala</LastName>
<ForeName>Enrico</ForeName>
<Initials>E</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-9391-9168</Identifier>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fania</LastName>
<ForeName>Luca</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bernardini</LastName>
<ForeName>Filippo</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Calarco</LastName>
<ForeName>Rodolfo</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chiloiro</LastName>
<ForeName>Sabrina</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Di Campli</LastName>
<ForeName>Cristiana</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Erculei</LastName>
<ForeName>Sabrina</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Giani</LastName>
<ForeName>Mauro</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Giordano</LastName>
<ForeName>Marzia</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Panebianco</LastName>
<ForeName>Annarita</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Passarelli</LastName>
<ForeName>Francesca</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Trovè</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verkhovskaia</LastName>
<ForeName>Sofia</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Russo</LastName>
<ForeName>Giandomenico</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sgadari</LastName>
<ForeName>Antonio</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Didona</LastName>
<ForeName>Biagio</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abeni</LastName>
<ForeName>Damiano</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Covid Unit, Istituto Dermopatico dell'Immacolata-IRCCS, FLMM, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><Agency>Ministero della Salute: Ricerca Corrente - RC2020-2-Scala</Agency>
<Country></Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2021</Year>
<Month>05</Month>
<Day>04</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Immun Inflamm Dis</MedlineTA>
<NlmUniqueID>101635460</NlmUniqueID>
<ISSNLinking>2050-4527</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID</Keyword>
<Keyword MajorTopicYN="N">cutaneous reaction</Keyword>
<Keyword MajorTopicYN="N">dermatology</Keyword>
<Keyword MajorTopicYN="N">drug reaction</Keyword>
<Keyword MajorTopicYN="N">skin</Keyword>
<Keyword MajorTopicYN="N">viral exanthem</Keyword>
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<PubmedData><History><PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>11</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>10</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>11</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2021</Year>
<Month>5</Month>
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