J Eur Acad Dermatol Venereol. 2020 May 9. doi: 10.1111/jdv.16620. [Epub ahead of print]
"Toxic erythema" and eosinophilia associated to tocilizumab therapy in a COVID-19 patient.
Sernicola A1, Carnicelli G1, Di Fraia M1, Chello C1, Furlan C2, Muharremi R1, Paolino G1, Grieco T1.
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Abstract
Since the new fatal pneumonia was identified in December 2019 in Wuhan, China, the WHO declared the infection a health emergency of international concern. The novel ss-RNA ?-coronavirus (SARS-CoV-2) spreads through airborne and direct contagion; virulence is high in the elderly and in patients with diabetes, chronic pulmonary, cardiovascular and neoplastic diseases. SARS-CoV-2 ssRNA is recognized by intracellular Pattern Recognition Receptors (PRRs), which trigger NF-kB - the master regulator of inflammation - and Interferon Regulatory Factors (IRFs)1 .
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KEYWORDS:
COVID-19; drug eruption; eosinophilia; tocilizumab
PMID:32386438DOI:10.1111/jdv.16620