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Digitate Papulosquamous Eruption Associated With Severe Acute Respiratory Syndrome Coronavirus 2 Infection

Educational Objective
To understand a case where digitate papulosquamous eruption occurred in a patient infected with COVID-19
1 Credit CME

In December 2019 in Wuhan, China, a novel coronavirus, designated as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), caused an international outbreak of respiratory illness termed coronavirus disease 2019 (COVID-19). Common symptoms include fever, fatigue, cough, and shortness of breath.1 Although most cases result in mild symptoms, it is estimated that around 5% of patients develop severe pneumonia and multiorgan failure.2 A recent Italian study3 reported a spectrum of cutaneous eruptions with nonspecific features in more than 20% of a small cohort of patients with COVID-19. We report a case of a digitate papulosquamous eruption occurring during a SARS-CoV-2 infection.

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Article Information

Corresponding Author: Bethsabée Garel, MD, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Division of Dermatology and Venereology, Pavillon Tarnier, 89 rue d’Assas, 75006 Paris, France (bethsabee.garel@aphp.fr).

Published Online: April 30, 2020. doi:10.1001/jamadermatol.2020.1704

Conflict of Interest Disclosures: None reported.

References
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He  F , Deng  Y , Li  W .  Coronavirus disease 2019: what we know?   J Med Virol. Published online March 14, 2020. doi:10.1002/jmv.25766PubMedGoogle Scholar
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Wu  Z , McGoogan  JM .  Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention.   JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648PubMedGoogle Scholar
3.
Recalcati  S .  Cutaneous manifestations in COVID-19: a first perspective.   J Eur Acad Dermatol Venereol. Published online March 26, 2020. doi:10.1111/jdv.16387PubMedGoogle Scholar
4.
Qin  C , Zhou  L , Hu  Z ,  et al.  Dysregulation of immune response in patients with COVID-19 in Wuhan, China.   Clin Infect Dis. Published online March 12, 2020. doi:10.1093/cid/ciaa248PubMedGoogle Scholar
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Drago  F , Broccolo  F , Rebora  A .  Pityriasis rosea: an update with a critical appraisal of its possible herpesviral etiology.   J Am Acad Dermatol. 2009;61(2):303-318. doi:10.1016/j.jaad.2008.07.045PubMedGoogle ScholarCrossref
6.
Hall  LD , Eminger  LA , Hesterman  KS , Heymann  WR .  Epstein-Barr virus: dermatologic associations and implications, part I: mucocutaneous manifestations of Epstein-Barr virus and nonmalignant disorders.   J Am Acad Dermatol. 2015;72(1):1-19. doi:10.1016/j.jaad.2014.07.034PubMedGoogle ScholarCrossref
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