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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.
Artículo en Inglés | MEDLINE | ID: covidwho-1153656
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.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neuropatías del Plexo Braquial / COVID-19 Tipo de estudio: Reporte de caso / Estudios diagnósticos Tópicos: Covid persistente Límite: Humanos / Masculino / Middle aged Idioma: Inglés Año: 2021 Tipo del documento: Artículo País de afiliación: Bcr-2020-237459

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neuropatías del Plexo Braquial / COVID-19 Tipo de estudio: Reporte de caso / Estudios diagnósticos Tópicos: Covid persistente Límite: Humanos / Masculino / Middle aged Idioma: Inglés Año: 2021 Tipo del documento: Artículo País de afiliación: Bcr-2020-237459