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Dermatol Ther
. 2020 Aug 8;e14157.
doi: 10.1111/dth.14157. Online ahead of print.
Cutaneous, skin histopathological manifestations and relationship to COVID-19 infection patients
Hongxin Li 1 , Yong Zhao 2 , Lin Zhou 3 , Jin Hu 1
Affiliations
- PMID: 32770717
- DOI: 10.1111/dth.14157
Abstract
Background: COVID-19 diseases have been a nationwide pandemic condition. However, cutaneous, skin histopathological manifestations of COVID-19 infection are not well described. Our study aims are to present heterogeneous cutaneous, histopathological manifestations in COVID-19 patients, to investigate the possible relationship between cutaneous manifestations and histopathological features in COVID-19 infection.
Materials and methods: We performed a systemic review in PubMed database and Chinese medical journal search engines which were wangfang.data (http://www.wanfangdata.com.cn/), Science China (http://www.cnki.net/) until June 17th , 2020. Search terms "COVID-19", "SARS-Coronavirus-2" and "Coronavirus" were used in combination with "cutaneous", "rash", "skin", "dermatology".
Results: 75 papers were included with confirmed COVID-19 infection. The most frequent cutaneous manifestation of COVID-19 present was erythema, nearly 38.4%. Trunk was the most affected location, presenting in 51.4% patients. Rash occurred before onset of other symptoms was in 5.3% patients. 77 patients were received treatments. Rash was dismissed in 49% patients, improved in 21.2% patients ranged from 0-17 days. The histopathological examination present in 39 patients.
Conclusion: Skin is one of target organs affected by COVID-19 infection. Cutaneous manifestations should be paid more attention. It can help doctors diagnose COVID-19 infection in prodromal stage, understand progression, and determine prognosis of COVID-19 infection. This article is protected by copyright. All rights reserved.
Keywords: COVID-19; SARS-CoV-2; cutaneous manifestations; histopathology.