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Severe Retiform Purpura Associated With COVID-19 Infection

Year: 2022

Type: article

Abstract: A healthy, unvaccinated 44-year-old woman developed a severe, diffusely spread, and intensely painful purpuric rash following mild COVID-19 infection. A punch skin biopsy revealed small vessel inflammation and intravascular thrombi consistent with thrombotic leukocytoclastic vasculitis. She was successfully managed with therapeutic anticoagulation, high-dose steroids, intravenous immunoglobulin, and aggressive analgesia. This case highlights an atypical and severe presentation of an uncommon cutaneous manifestation of COVID-19 that has been linked with significant morbidity and mortality.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2022.0006

Authors: Shelief Robbins-Juarez, Rachel Tobin, Michelle M. Schneider, Adela Rambi G. Cardones, Thomas L. Holland, Stephen A. Telloni

Institution: Duke University

Language: English

Topic: Dermatological and COVID-19 studies

Subfield: Dermatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4224240891

FWCI:

Cites: 9

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Related to: 10