RESUMEN
ABSTRACT CONTEXT: Various skin manifestations have been reported in coronavirus disease. It may be difficult to determine the etiology of these lesions in view of the increased frequency of handwashing during the pandemic, along with occurrences of irritant contact dermatitis and allergic contact dermatitis due to disinfectant use; usage of herbal medicine and supplements to strengthen the immune system; and urticarial or maculopapular drug eruptions due to COVID-19 treatment. The variety of associated skin manifestations seen with COVID-19 makes it challenging to identify virus-specific skin manifestations. Petechiae, purpura, acrocyanosis and necrotic and non-necrotic purpura, which can be considered as manifestations of vascular involvement on the skin, have been reported. CASE REPORT: Here, we report a case of eruptive cherry angiomas, which was thought to have developed due to COVID-19, with a papulovesicular rash on distal extremities that progressed over time to reticular purpura. CONCLUSION: The case presented had a papulovesicular rash at the onset, which evolved to retiform purpura, and eruptive cherry angiomas were observed. It should be kept in mind that dermatological signs may vary in patients with COVID-19.
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Púrpura/virología , Piel/virología , Enfermedades Cutáneas Virales/virología , Exantema/virología , COVID-19/complicaciones , COVID-19/virología , Hemangioma/virología , Piel/efectos de los fármacos , Piel/patología , Resultado del Tratamiento , Enfermedades Cutáneas Virales/diagnóstico , Enfermedades Cutáneas Virales/terapia , Prueba de COVID-19 , SARS-CoV-2 , COVID-19/tratamiento farmacológico , COVID-19/terapiaRESUMEN
Diversos virus pueden infectar la piel y las mucosas de los seres humanos, manifestándose en diferentes patologías, de acuerdo a la edad, género y estado inmunológico. Un grupo importante de éstos tiene capacidad de replicar en células epiteliales, originando cuadros clínicos en los cuales se evidencia la destrucción celular o bien la hiperplasia del tejido infectado. Gran parte de estos virus persisten en células infectadas por años y tienen la capacidad de reactivarse y de manifestar nuevamente enfermedades cutáneas o mucosas. En algunos casos, ésta sólo se expresa de manera subclínica en una excreción del virus por secreciones que son fuente de infección. En los últimos años, los avances en técnicas moleculares han permitido contar con metodologías diagnósticas cada vez más sensibles, específicas y rápidas. Así como también el progreso en el área de vacunas y antivirales nos entrega mayores herramientas profilácticas y terapéuticas.
Various viruses can infect the skin and the mucous membranes of human beings, manifesting itself in different diseases, according to age, gender and immune status. An important group has the ability to replicate in epithelial cells, causing clinical manifestations which evidenced the cell destruction either infected tissue hyperplasia. Much of these viruses persist in cells infected by years and have the ability to reactivate and again express cutaneous or mucosal diseases. In some cases, it is only asymptomatically shred in secretions that are a source of infection. In recent years, advances in molecular techniques have allowed to have increasingly sensitive, specific and rapid diagnostic methodologies. As well as, the progress in the area of vaccines and antivirals also gives us greater prophylactic and therapeutic tools.