Cutaneous Manifestations in COVID-19

Yıl 2020, Cilt: 1 Sayı: 2, 69 - 72, 30.09.2020

Gökçe Işıl Kurmuş Erdol Koç

Öz

The COVID-19 infection seen in Wuhan, China for the first time in December 2019, rapidly spread all over the world and became a pandemic. So the skin symptoms of the disease were identified and started to be defined in the literature. The skin manifestations of the disease have been reported sporadically. These findings are often morbiliform eruption, urticaria, vesicular eruption, acral lesions and livedoid eruptions. Exanthematous eruptions associated with COVID-19 infection are highly heterogeneous and variable. Skin lesions are usually erythematous, urticarial and vesicular varicella like . Single case reports have also been reported in the form of petechial rash, livedo reticularis, pernio-like lesions and oral HSV-1 reactivation. Large-population studies have not yet been performed on the role of skin lesions in early diagnosis and their relationship with disease progression. Some of these skin findings have been reported to have been seen earlier than symptoms associated with COVID-19. Therefore, it is predicted that skin findings may be among the initial symptoms of COVID-19 infection. Data on skin manifestations of COVID-19 infection will be useful for early diagnosis of the disease, proper management and evaluation of patients. In this review, skin symptoms associated with COVID-19 infection are summarized.

Anahtar Kelimeler

COVID-19, SARS-CoV-2, skin manifestations, urticaria, morbiliform rash, vesicular eruption

COVID-19 Deri Bulguları

Öz

İlk kez Aralık 2019’da Wuhan, Çin’de görülen COVID-19 enfeksiyonunun hızla tüm dünyaya yayılarak pandemi haline gelmesiyle birlikte hastalığın deri belirtileri de saptanmış ve literatürde tanımlanmaya başlanmıştır. Hastalığın deri bulguları sporadik olarak bildirilmiştir. Bu bulgular; sıklıkla morbiliform döküntü, ürtiker, veziküler erüpsiyonlar, akral lezyonlar ve livedoid erüpsiyonlardır. COVID-19 enfeksiyonu ile ilişkili ekzantematöz erüpsiyonlar oldukça heterojen ve değişkendir. Deri lezyonları genellikle eritematöz, ürtikeryal ve vezikülerdir varisella benzeri . Peteşial döküntü, livedo retikülaris, pernio benzeri lezyonlar ve oral HSV-1 reaktivasyonu şeklinde tekli olgu sunumları da bildirilmiştir. Deri lezyonlarının erken tanıdaki yeri ve hastalık progresyonu ile ilişkisi üzerine henüz geniş popülasyonlu çalışmalar yapılmamıştır. Bu deri bulgularından bazılarının COVID-19 ile ilişkili semptomlardan daha önce görüldüğü bildirilmiştir. Bu nedenle deri bulgularının COVID-19 enfeksiyonunun başlangıç belirtileri arasında olabileceği öngörülmektedir. COVID-19 enfeksiyonunun deri bulguları hakkındaki veriler hastalığın erken tanısı, hastaların uygun yönetimi ve değerlendirilmesi için yararlı olacaktır. Bu derlemede COVID-19 enfeksiyonu ile ilişkili deri belirtileri özetlenmiştir.

Anahtar Kelimeler

COVID-19, SARS-CoV-2, deri belirtileri, ürtiker, morbiliform döküntü, veziküler erüpsiyon

Kaynakça

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