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Brachial plexopathy as a complication of COVID-19.
Han, Catherine Young; Tarr, Andrew M; Gewirtz, Alexandra N; Kaunzner, Ulrike W; Roy-Burman, Paula; Cutler, Todd S; MacGowan, Daniel Jl.
  • Han CY; Medicine, Weill Cornell Medical College, New York City, New York, USA cyh4001@med.cornell.edu.
  • Tarr AM; Neurology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
  • Gewirtz AN; Neurology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York City, New York, USA.
  • Kaunzner UW; Neurology, Weill Cornell Medicine, New York City, New York, USA.
  • Roy-Burman P; Medicine, Weill Cornell Medical College, New York City, New York, USA.
  • Cutler TS; Medicine, Weill Cornell Medical College, New York City, New York, USA.
  • MacGowan DJ; Neurology, Weill Cornell Medicine, New York City, New York, USA.
BMJ Case Rep ; 14(3)2021 Mar 25.
Article in English | MEDLINE | ID: covidwho-1153656
Semantic information from SemMedBD (by NLM)
1. Brachial Plexus Neuropathies PROCESS_OF Male population group
Subject
Brachial Plexus Neuropathies
Predicate
PROCESS_OF
Object
Male population group
2. Respiratory Failure PROCESS_OF Male population group
Subject
Respiratory Failure
Predicate
PROCESS_OF
Object
Male population group
3. COVID-19 PROCESS_OF Male population group
Subject
COVID-19
Predicate
PROCESS_OF
Object
Male population group
4. Borg Category-Ratio 10 Perceived Exertion Score 5 PROCESS_OF Male population group
Subject
Borg Category-Ratio 10 Perceived Exertion Score 5
Predicate
PROCESS_OF
Object
Male population group
5. Hypertensive disease PROCESS_OF Male population group
Subject
Hypertensive disease
Predicate
PROCESS_OF
Object
Male population group
6. Newly diagnosed diabetes PROCESS_OF Male population group
Subject
Newly diagnosed diabetes
Predicate
PROCESS_OF
Object
Male population group
7. Forearm LOCATION_OF Purpuric rash
Subject
Forearm
Predicate
LOCATION_OF
Object
Purpuric rash
8. Hand LOCATION_OF Purpuric rash
Subject
Hand
Predicate
LOCATION_OF
Object
Purpuric rash
9. COVID-19 CAUSES Disease of capillaries
Subject
COVID-19
Predicate
CAUSES
Object
Disease of capillaries
10. Brachial Plexus Neuropathies PROCESS_OF Male population group
Subject
Brachial Plexus Neuropathies
Predicate
PROCESS_OF
Object
Male population group
11. Respiratory Failure PROCESS_OF Male population group
Subject
Respiratory Failure
Predicate
PROCESS_OF
Object
Male population group
12. COVID-19 PROCESS_OF Male population group
Subject
COVID-19
Predicate
PROCESS_OF
Object
Male population group
13. Borg Category-Ratio 10 Perceived Exertion Score 5 PROCESS_OF Male population group
Subject
Borg Category-Ratio 10 Perceived Exertion Score 5
Predicate
PROCESS_OF
Object
Male population group
14. Hypertensive disease PROCESS_OF Male population group
Subject
Hypertensive disease
Predicate
PROCESS_OF
Object
Male population group
15. Newly diagnosed diabetes PROCESS_OF Male population group
Subject
Newly diagnosed diabetes
Predicate
PROCESS_OF
Object
Male population group
16. Forearm LOCATION_OF Purpuric rash
Subject
Forearm
Predicate
LOCATION_OF
Object
Purpuric rash
17. Hand LOCATION_OF Purpuric rash
Subject
Hand
Predicate
LOCATION_OF
Object
Purpuric rash
18. COVID-19 CAUSES Disease of capillaries
Subject
COVID-19
Predicate
CAUSES
Object
Disease of capillaries
ABSTRACT
COVID-19 affects a wide spectrum of organ systems. We report a 52-year-old man with hypertension and newly diagnosed diabetes mellitus who presented with hypoxic respiratory failure due to COVID-19 and developed severe brachial plexopathy. He was not treated with prone positioning respiratory therapy. Associated with the flaccid, painfully numb left upper extremity was a livedoid, purpuric rash on his left hand and forearm consistent with COVID-19-induced microangiopathy. Neuroimaging and electrophysiological data were consistent with near diffuse left brachial plexitis with selective sparing of axillary, suprascapular and pectoral fascicles. Given his microangiopathic rash, elevated D-dimers and paucifascicular plexopathy, we postulate a patchy microvascular thrombotic plexopathy. Providers should be aware of this significant and potentially under-recognised neurologic complication of COVID-19.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Brachial Plexus Neuropathies / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-237459

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Brachial Plexus Neuropathies / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-237459