ABSTRACT
Over the past 2 years, a plethora of mucocutaneous manifestations have been described to be associated with coronavirus 2019 (COVID-19) infection. Nail changes attributed to COVID-19 have rarely been documented in the literature. We describe here a unique nail finding 'transverse erythronychia' due to COVID-19 and review the literature on the diverse nail pathology attributed to the disease.
Subject(s)
COVID-19 , Nail Diseases , Humans , Nail Diseases/etiology , Nail Diseases/pathologySubject(s)
Carcinoma , Endometrial Neoplasms , Nail Diseases , Skin Neoplasms , Female , Humans , Nail Diseases/pathology , Nail Diseases/surgery , Skin Neoplasms/pathologyABSTRACT
With the onset of the SARS-CoV-2 pandemic, a number of nail unit changes have been associated with SARS-CoV-2 infection. We report a new unique nail finding within one month of infection and RT-PCR test positivity characterized by an abrupt proximal superficial nail plate change characteristic of shoreline nails. The possibility that this nail change may represent a Koebner phenomenon in patients prone to lichen planus is raised. J Drugs Dermatol. 2022;21(5):521-522. doi:10.36849/JDD.2105.
Subject(s)
COVID-19 , Lichen Planus , Nail Diseases , COVID-19/diagnosis , Humans , Lichen Planus/diagnosis , Nail Diseases/diagnosis , Nails , SARS-CoV-2Subject(s)
COVID-19 , Chilblains , Nail Diseases , Nails, Malformed , COVID-19/complications , Chilblains/diagnosis , Chilblains/etiology , Humans , Nail Diseases/etiology , SARS-CoV-2ABSTRACT
Half and half nail or Lindsay’s nail is a rare clinical finding that can be seen in many chronic diseases, such as chronic renal failure. We report 2 cases of half and half nail aspect during severe Covid-19 infection suggesting that it can be considered as a severity marker.
Subject(s)
COVID-19 , Nail Diseases , Kidney Failure, ChronicSubject(s)
Coronavirus Infections , Lichen Planus , Nail Diseases , Pandemics , Pneumonia, Viral , Betacoronavirus , COVID-19 , Consensus , Humans , Lichen Planus/diagnosis , Lichen Planus/drug therapy , Lichen Planus/epidemiology , Nail Diseases/diagnosis , Nail Diseases/epidemiology , Nail Diseases/therapy , SARS-CoV-2ABSTRACT
BACKGROUND: COVID-19 is a pandemic disease worldwide. Although cutaneous manifestations may present in affected patients, there have been limited studies on the cutaneous findings and hair and nail abnormalities after discharge. OBJECTIVE: To establish the cutaneous manifestations, hair and scalp disorders, and nail abnormalities in patients who recovered from COVID-19 infections. METHODS: A retrospective chart review and telephone interviews were conducted to determine the cutaneous manifestations, hair and scalp disorders, and nail abnormalities of patients aged over 18 years who were diagnosed with COVID-19 infections at Siriraj Hospital, Bangkok, Thailand, between January and June 2020. RESULTS: Ninety-three patients with prior COVID-19 infections participated in the study. The COVID-19 severity had been mild for most (71%). Cutaneous manifestations were reported in 8 patients (8.6%), with the common skin conditions being maculopapular rash and urticaria. The onsets of the skin conditions were before admission (1%), during admission (4.3%), and after discharge (3.2%). Increased hair shedding was also reported in 22 patients (23.7%), with a female predominance. Three patients were affected during admission, while the others were affected after discharge. The patients with moderate, severe, and critical COVID-19 infections experienced significantly more hair shedding than those with asymptomatic and mild diseases. Only 2 patients with mild COVID-19 disease reported nail abnormalities (chromonychia and brittle nails). CONCLUSIONS: Cutaneous manifestations, hair disorders, and nail abnormalities can occur in patients with COVID-19 after their discharge from hospital. Patients should therefore be followed up in anticipation of dermatological problems.