PDF(Pubmed)
Abstract：
During the SARS-CoV-2 pandemic, various rashes associated with COVID-19 infection have been reported, including urticaria. Urticaria is a limited and usually benign condition, presenting as pruritic wheals, with or without edema. A 39-year-old woman presented with a pruritic rash on her arms spreading to her trunk and face over two days, followed by headache, nausea, vomiting, abdominal discomfort, diarrhea, myalgia, arthralgia, anosmia, and dyspepsia for three days. Fever, dry cough, and odynophagia started on the day of the consult. The patient had a history of hypertension but denied a history of atopic conditions, similar previous presentations, or recent ingestion of new medications. SARS-CoV-2 COVID-19 PCR testing was positive. She was prescribed oral antihistamine for the itching and was discharged. During a follow-up after two weeks, the patient was asymptomatic with complete resolution of the rash on day 7 of symptoms. Knowing the cutaneous manifestations of COVID-19 can aid in the early identification of this disease and prevent misdiagnosis. The presence of cutaneous manifestations in COVID-19 is suggested to be related to disease severity, but data are needed to study any prognostic value of dermatologic manifestations in COVID-19.
摘要：
在SARS-CoV-2大流行期间，据报道，与COVID-19感染相关的各种皮疹，包括荨麻疹.荨麻疹是一种有限的，通常是良性的疾病，表现为瘙痒性风团，有或没有水肿。一名39岁的妇女在两天内出现了手臂上瘙痒的皮疹，蔓延到躯干和面部，接着是头痛,恶心,呕吐,腹部不适,腹泻,肌痛，关节痛,嗅觉缺失,和消化不良三天。发烧,干咳,在咨询当天就开始了吞咽痛.患者有高血压病史，但否认有特应性病史，类似以前的介绍，或最近摄入新药物。SARS-CoV-2COVID-19PCR检测呈阳性。她服用口服抗组胺药治疗瘙痒并出院。在两周后的随访中，患者无症状，在症状出现的第7天皮疹完全缓解。了解COVID-19的皮肤表现可以帮助早期识别这种疾病并防止误诊。COVID-19的皮肤表现被认为与疾病的严重程度有关，但需要数据来研究COVID-19的皮肤病学表现的任何预后价值.
